MR. Percival Gimenez Boral, IDC
NPI #1396915229 in Camp Pendleton, California
Provider Information
- NPI Number
- 1396915229
- Entity Type
- Individual
- Name
- MR. Percival Gimenez Boral, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Mar 6, 2008
- Last Updated
- Apr 23, 2013
Practice Location
- Address
- 1ST MLG VANDERGRIFT RD
- City
- Camp Pendleton
- State
- California
- ZIP Code
- 92055-5019
- Phone
- (760) 763-0760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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