Individual
RAY MANIBOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1728 MENDOTA ST, CHULA VISTA, CA 91913-1570
(734) 620-5895
Mailing address
1728 MENDOTA ST, CHULA VISTA, CA 91913-1570
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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