WILL DELAVEGA

SAN DIEGO, CA
NPI1699821405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: CA  00527140)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
-- WILL DELAVEGA
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8224
Mailing Address
-- WILL DELAVEGA
1963 OLIVE AVE
SAN DIEGO, CA 92139-1627
Phone number: