Obel Borrajero Valid NPI
Individual provider · Nurse Practitioner · Coronado, CA
- NPI
- 1093280588
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 95010239 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-10-10
- Last updated
- 2019-08-06
Practice location
250 Prospect Pl
Coronado, CA 92118-1943
(619) 522-3600