Individual
JOSE PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(305) 505-8471
Mailing address
5645 FRIARS RD UNIT 364, SAN DIEGO, CA 92110-2537
(305) 505-8471
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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