Individual
CARLOS AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 BOARDWALK STE 304, SAN MARCOS, CA 92078-2639
(760) 917-0372
Mailing address
164 ESTRELITA DR, VISTA, CA 92084-7826
(760) 917-0372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1737
CA
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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