Individual
MR. GARY TOBIAS GALICINAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 725-1288
Mailing address
1690 WHITMORE LOOP, CHULA VISTA, CA 91913-3695
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148552
CA
Other
Enumeration date
07/10/2024
Last updated
08/01/2024
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