Individual
MR. RONEILIO SAN DIEGO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2104 W. 242ND STREET, LOMITA, CA 90717
(424) 757-2323
Mailing address
2104 W. 242ND STREET, LOMITA, CA 90717
(424) 757-2323
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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