RAPHAEL LUKE LANDICHO

SAN DIEGO, CA
NPI1205424223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2021-01-05
Last Update Date2021-01-05
Business Address
RAPHAEL LUKE LANDICHO
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
RAPHAEL LUKE LANDICHO
12643 BELLFLOWER LN
MORENO VALLEY, CA 92555-2250
Phone number: 951-807-9532