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MR. ERNESTO DELOS SANTOS ESPANA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
15611 POMERADO RD STE 545, POWAY, CA 92064-2438
(856) 613-6260
Mailing address
PO BOX 104, LAMOURE, ND 58458-0104

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
763585
NY
163W00000X
Registered Nurse
Primary
95233854
CA
163W00000X
Registered Nurse
R47807
ND

Other

Enumeration date
02/25/2021
Last updated
02/25/2021
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