Gavino Martin Lopez, SOIDC
Gavino Martin Lopez, SOIDC is an Independent Duty Corpsman in Camp Pendleton, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1ST Marine Raider Battalion Medical 555341Camp Pendleton, CA 92055-5341
Phone: (760) 725-2589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1083237549 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | No |
| NPI enumerated | May 19, 2020 |
| Last updated in NPPES | May 19, 2020 |
| Certification date | May 19, 2020 |
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