Individual
ARACELI NARCISO BANTOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MARBLE CANYON WAY, CHULA VISTA, CA 91915
(619) 271-9864
Mailing address
MARBLE CANYON WAY, CHULA VISTA, CA 91915
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
526133
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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