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Leonardo D Mourao, IDC
Military Health Care Provider in Oceanside, California
NPI 1972842680

Leonardo D Mourao is a Military Health Care Provider based in Fpo, CA. Leonardo D Mourao practices in Oceanside, CA and has the professional credentials of IDC. The NPI Number for Leonardo D Mourao is 1972842680 and holds a License No. (California).

The current practice location address for Leonardo D Mourao is 618 Pusan Dr, Oceanside, CA and can be reached out via phone at 760-725-5865.

Location: 618 Pusan Dr, Oceanside, CA, 92055-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972842680
Provider Name
Leonardo D Mourao
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
618 Pusan Dr, Oceanside, CA, 92055-0000
Phone Number
760-725-5865
Fax Number
Provider Enumeration Date
02/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
618 Pusan Dr
City
Oceanside
State
California
Zip
92058-8148
Phone Number
760-725-5865
Fax Number
person
Provider Business Mailing Address Details
Address
618 Pusan Dr
City
Oceanside
State
California
Zip
92058-8148
Phone Number
760-725-5865
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
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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