Individual
MR. FRANCISCO BAGALAYOS TACLIAD JR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, BUILDING H-100, CAMP PENDLETON, CA 92055-5191
(760) 725-0733
(760) 725-1101
Mailing address
NAVAL HOSPITAL, BLDG 100, CAMP PENDLETON, CA 92055-5191
(760) 725-0733
(760) 725-1101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15785
CA
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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