Individual
LAZARO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SF IDC
Contact information
Practice address
5201 CHAMPLAIN ST, OCEANSIDE, CA 92056-2305
(949) 370-3300
Mailing address
5201 CHAMPLAIN ST, OCEANSIDE, CA 92056-2305
(949) 370-3300
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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