Individual
JUAN CARLOS MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
780 CAMINO DE LA REINA APT 141, SAN DIEGO, CA 92108-3261
(573) 480-7019
Mailing address
780 CAMINO DE LA REINA APT 141, SAN DIEGO, CA 92108-3261
(573) 480-7019
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
08/12/2020
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