Individual
SILBERIO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13782 SYCAMORE TREE LN, POWAY, CA 92064-4655
(858) 776-4519
Mailing address
13782 SYCAMORE TREE LN, POWAY, CA 92064-4655
(858) 776-4519
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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