Individual
MRS. OSVALDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3D BATTALION 1ST MAR BATTALION AID STATION, BOX 555422, CAMP PENDLETON, CA 92055
(760) 763-0565
Mailing address
234 RANCHO DEL ORO DR APT 100, OCEANSIDE, CA 92057-7308
(760) 763-0565
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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