Individual
BENJAMIN ANTIG JAVIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
787 JOY CT, SAN MARCOS, CA 92078-4100
(760) 304-4207
Mailing address
787 JOY CT, SAN MARCOS, CA 92078-4100
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
RHF 71939
CA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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