Individual
GERARDO HOLGUIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 S BARNWELL ST, OCEANSIDE, CA 92054-4507
(619) 246-0561
Mailing address
6902 EMERSON DR, BUENA PARK, CA 90620-1150
(714) 290-3264
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D2036423
DRIVER LICENSE
CA
Enumeration date
01/17/2023
Last updated
01/17/2023
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