Individual
EDDIE JAYSON GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10309 SCULPIN ST, SAN DIEGO, CA 92124-3669
(469) 774-3423
Mailing address
10309 SCULPIN ST, SAN DIEGO, CA 92124-3669
(469) 774-3423
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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