Simon Pedro Trujillo, IDC Valid NPI

Individual provider · Independent Duty Corpsman · San Clemente, CA

NPI

1639793607

Type

Individual (Type 1)

Primary specialty

Independent Duty Corpsman (Military Health Care Provider)

Specialty group

Other Service Providers

Taxonomy code

1710I1002X

Sex

Male

Sole proprietor

No

Enumerated

2020-06-04

Last updated

2020-06-04