Individual
MR. EMILIO CASENAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
6031 SANDY SHORE CT, SAN DIEGO, CA 92139-1014
(305) 399-3752
Mailing address
6031 SANDY SHORE CT, SAN DIEGO, CA 92139-1014
(305) 399-3752
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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