Individual
TRINIDAD ALCANTARA ALVARENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-5291
(619) 532-5109
Mailing address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-5291
(619) 532-5109
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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