Individual
SEVERINO G BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
895 PALOMAR ST STE B3, CHULA VISTA, CA 91911-2627
(619) 525-2469
Mailing address
895 PALOMAR ST STE B3, CHULA VISTA, CA 91911-2627
(619) 525-2469
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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