Individual
OLIVER MARSELO FREGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ORTHOPEDIC TECHNICIA
Contact information
Practice address
400 CRAVEN RD, SAN MARCOS, CA 92078-4201
(760) 510-4324
Mailing address
1450 ARCHWOOD PL, ESCONDIDO, CA 92026-2749
(858) 705-4916
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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