Individual
JOHN DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5065 MONROE AVE, SAN DIEGO, CA 92115-3330
(760) 498-8650
Mailing address
5065 MONROE AVE, SAN DIEGO, CA 92115-3330
(760) 498-8650
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
009623283
LA
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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