Individual
RENATO L TOLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1285 LAVENDER LN, HEMET, CA 92545-8720
(951) 765-9978
Mailing address
1285 LAVENDER LN, HEMET, CA 92545-8720
(951) 765-9978
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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