Individual
HUGO GERARDO MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
284 PENNSYLVANIA DR, SUITE 1, WATSONVILLE, CA 95076-3768
(831) 722-8787
(831) 722-8881
Mailing address
284 PENNSYLVANIA DR, SUITE 1, WATSONVILLE, CA 95076-3768
(831) 722-8787
(831) 722-8881
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13256
LICENSE
CA
Enumeration date
03/22/2010
Last updated
04/15/2015
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