Individual
REGINALD ALANO DEMAPELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1510 CIRCULO BRINDISI, CHULA VISTA, CA 91915
(619) 534-5297
Mailing address
1510 CIRCULO BRINDISI, CHULA VISTA, CA 91915-4132
(619) 534-5297
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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