Individual
ESTRELLITA DELROSAR EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
I.D.C
Contact information
Practice address
2450 CRAVEN ST, SAN DIEGO, CA 92136
(619) 556-8114
(619) 556-8109
Mailing address
2450 CRAVEN ST, SAN DIEGO, CA 92136-5599
(619) 556-0000
(619) 556-8109
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
10/08/2008
Last updated
05/16/2018
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