Individual
FREDY LABRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-5291
(760) 725-1288
Mailing address
38382 ENCANTO RD, MURRIETA, CA 92563-3211
(951) 852-7289
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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