Walter Javier Despradel Quintana, MILITARYPROVIDER
Walter Javier Despradel Quintana, MILITARYPROVIDER is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
840 17th St Apt 117San Diego, CA 92101-6655
Phone: (619) 642-7162
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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 | 1659159978 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MILITARYPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | September 18, 2023 |
| Last updated in NPPES | September 18, 2023 |
| Certification date | September 18, 2023 |
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