person
Trevor Ray Guevara, SURFACEIDC
Military Health Care Provider in San Diego, California
NPI 1750879151

Trevor Ray Guevara is a Military Health Care Provider based in San Diego, CA. Trevor Ray Guevara practices in San Diego, CA and has the professional credentials of SURFACEIDC. The NPI Number for Trevor Ray Guevara is 1750879151 and holds a License No. (California).

The current practice location address for Trevor Ray Guevara is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 910-548-3919.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-5291
person
Provider Profile Details
NPI Number
1750879151
Provider Name
Trevor Ray Guevara
Credential
SURFACEIDC
Provider Entity Type
Individual
Gender
Male
Address
34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-5291
Phone Number
910-548-3919
Fax Number
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Farenholt Ave Bldg 14
City
State
Zip
92134-7000
Phone Number
910-548-3919
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Farenholt Ave Bldg 14
City
State
Zip
92134-7000
Phone Number
910-548-3919
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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