Individual
ADAM CHARLES REGALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
3556 EL CAMINO REAL, ATASCADERO, CA 93422
(209) 869-3248
Mailing address
2301 CANDLEWOOD PL, RIVERBANK, CA 95367-2104
(209) 869-3248
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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