Keoky Delapena, IDCSTUDENT
Keoky Delapena, IDCSTUDENT is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
14101 Farenholt Ave Bldg 14San Diego, CA 92134-5291
Phone: (619) 532-7968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1124619861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDCSTUDENT |
| Sole proprietor | No |
| NPI enumerated | January 26, 2021 |
| Last updated in NPPES | January 26, 2021 |
| Certification date | January 26, 2021 |
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