Individual
REYNALDO ALDOVER GUADEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BRANCH MEDICAL CLINIC MCRD, 35000 GUADALCANAL STREET, SAN DIEGO, CA 92140
(619) 524-4045
Mailing address
7479 LINDA VISTA RD, SAN DIEGO, CA 92111-5833
(619) 524-4045
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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