REGINALD GRANGER

SAN DIEGO, CA
NPI1780415141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2024-08-08
Last Update Date2024-10-06
Business Address
REGINALD GRANGER IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
REGINALD GRANGER IDC
2029 8TH ST NW
BIRMINGHAM, AL 35215-4205
Phone number:
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