Individual
MR. ANDRES BARGADOS SANTAMARIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
116 CUMMINGS RD, SAN DIEGO, CA 92136
(619) 532-0662
Mailing address
2641 HASKELL ST, SAN DIEGO, CA 92109-3804
(619) 623-8433
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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