Junior M Perez, Ind Duty Corpsman
Military Health Care Provider, Independent Duty Corpsman in Fpo, AE. Individual provider (NPI-1).
NPI number1265626543
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1265626543
- Entity type
- Individual (NPI-1)
- Name
- Mr. Junior M Perez
- Credential
- Ind Duty Corpsman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2007
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
Uss Arleigh Burke Ddg 51Medical Department
Fpo, AE 09565 1269
Phone 757-444-4323
Mailing address
3500 Green Garden CirApt-101
Virginia Beach, VA 23453-2240
Phone 757-450-7321
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