Individual
EDGAR OMAR GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
454 E H ST APT 706, CHULA VISTA, CA 91910-7468
(210) 202-9604
Mailing address
454 E H ST APT 706, CHULA VISTA, CA 91910-7468
(210) 202-9604
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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