Individual
AUGUSTINE I OBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
Mailing address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
07/04/2014
Last updated
08/21/2014
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