GABRIEL ANTHONY BOCANEGRA

SAN DIEGO, CA
NPI1851527568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2009-06-09
Last Update Date2012-08-02
Business Address
-- GABRIEL ANTHONY BOCANEGRA SUB IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-5112
Mailing Address
-- GABRIEL ANTHONY BOCANEGRA SUB IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-5112