Individual
MR. JAMES R BERNAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1976 HACIENDA DR, VISTA, CA 92081-6025
(760) 758-4770
(760) 758-3274
Mailing address
1976 HACIENDA DRIVE, VISTA, CA 92081-6025
(760) 758-4770
(760) 758-3274
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT239
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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