Individual
MR. ROBERT JESS VALTIERRA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
SURFACE WARFARE MEDICAL INSTITUTE, 34101 FARENHOLT AVENUE, BUILDING 14, SAN DIEGO, CA 92134-0001
(619) 532-6195
Mailing address
5310 REPECHO DR, APT V 104, SAN DIEGO, CA 92124-1726
(808) 224-4721
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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