Individual
ALEXANDER P HAEDO-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4590 ZION AVE APT 13, SAN DIEGO, CA 92120-2537
(850) 375-3984
Mailing address
4590 ZION AVE APT 13, SAN DIEGO, CA 92120-2537
(850) 375-3984
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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