Individual
ALLAN DINOSO FELICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BLDG 601 MCCAINE BLVD, BRANCH MEDICAL CLINIC, SAN DIEGO, CA 92135-5000
(619) 545-4268
Mailing address
BLDG 601 MCCAINE BLVD, BRANCH MEDICAL CLINIC, SAN DIEGO, CA 92135
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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