Carlos Eric Tafoya, IDC
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1295073765
StatusActive
Last updated in NPPESJan 17, 2013
Details
- NPI
- 1295073765
- Entity type
- Individual (NPI-1)
- Name
- Mr. Carlos Eric Tafoya
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2013
- Last updated
- Jan 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
2524 Eniwetok RdSan Diego, CA 92155-5200
Phone 619-437-5755
Mailing address
2524 Eniwetok RdSan Diego, CA 92155-5200
Phone 619-437-5755
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