KEOKY DELAPENA, IDC STUDENT

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1124619861

Practice Address

14101 FARENHOLT AVENUE BLDG 14
San Diego, CA 92134

Phone: (619) 532-7968

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1124619861 is the National Provider Identifier for KEOKY DELAPENA, IDC STUDENT, a Military Health Care Provider - Independent Duty Corpsman provider located in San Diego, CA. This NPI was enumerated on January 26, 2021.
KEOKY DELAPENA, IDC STUDENT practices at 14101 FARENHOLT AVENUE BLDG 14, San Diego, CA 92134.

Quick Facts

NPI
1124619861
Type
Individual
Enumerated
Jan 26, 2021
Last Updated
Jan 26, 2021

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