Individual
MELCHOR NACIONAL MARCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3998 VISTA WAY STE E, OCEANSIDE, CA 92056-4514
(760) 295-9830
(760) 295-9866
Mailing address
3998 VISTA WAY STE E, OCEANSIDE, CA 92056-4514
(760) 295-9830
(760) 295-9866
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y2987826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y2987826
DRIVER LICENSE
CA
Enumeration date
10/19/2018
Last updated
10/19/2018
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