Individual
MR. CHRISTIAN JOEL RIVERA ASTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, NAVAL MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 92134-5291
(619) 532-6195
Mailing address
BRANCH HEALTH CLINIC DIEGO GARCIA, PSC 466 BOX # 3, FPO, AP 96595-0003
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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