Individual
ALVIN OLLADA MONTALBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3400 TARAWA RD, SAN DIEGO, CA 92155-5176
(619) 437-5540
Mailing address
3400 TARAWA RD, SAN DIEGO, CA 92155-5176
(619) 437-5540
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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