Individual
TREVOR RAY GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURFACE IDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(910) 548-3919
Mailing address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-5291
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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