Individual
MR. GILBERT RUIZ BARRERA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
314A SMITH LN, SAN CLEMENTE, CA 92672-2538
(949) 361-1127
Mailing address
314A SMITH LN, SAN CLEMENTE, CA 92672-2538
(949) 361-1127
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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