NEIL ALLEN REGERO NUCUP

SAN DIEGO, CA
NPI1689934879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-05-21
Last Update Date2012-05-21
Business Address
-- NEIL ALLEN REGERO NUCUP IDC
1802 ROCKY SHORE RD
SAN DIEGO, CA 92139-1017
Phone number: 619-434-1163
Mailing Address
-- NEIL ALLEN REGERO NUCUP IDC
1802 ROCKY SHORE RD
SAN DIEGO, CA 92139-1017
Phone number: 619-434-1163