Individual
DR. BENJAMIN DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10806 WILLOW CT STE 2, SAN DIEGO, CA 92127-2428
(619) 695-0688
Mailing address
11834 TREEWIND CT STE 2, SAN DIEGO, CA 92128-5272
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
33931
CA
111NS0005X
Sports Physician Chiropractor
33931
CA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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