Individual
GARRETT HERLINDO CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DIVE IDC
Contact information
Practice address
2930 TARAWA RD, SAN DIEGO, CA 92155-5198
(619) 473-5393
Mailing address
2930 TARAWA RD, SAN DIEGO, CA 92155-5198
(619) 473-5393
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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