Nicholas Nelson Desantis D.P.M.

NPI 1053317545 - Podiatrist - 213ES0103X

NPI Details
NPI 1053317545
Gender Male
Enumeration Date 06/21/2005
Last Updated 06/07/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2306 6TH AVE
SAN DIEGO CA, 92101-1643, US
Phone (619) 239-3286
Fax (619) 239-0172
Business Location
2306 6TH AVE
SAN DIEGO CA, 92101-1643, US
Phone (619) 239-3286
Fax (619) 239-0172
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E2474
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According to our database, Dr. Nicholas Nelson Desantis D.P.M. NPI is 1053317545, taxonomy code is 213ES0103X and license number is E2474, license state is located at California. Nicholas Nelson Desantis D.P.M. physically located at 2306 6th Ave, San Diego CA, 92101-1643. NPI Number Nicholas Nelson Desantis D.P.M. has the Individual type.

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1053317545 NPI number is provided on an as is basis without warranty of any kind. 1053317545 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Nelson Desantis D.P.M. are for informational purposes only.