Individual
PETRONILO MARCELO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2ND MEDICAL BATTALION PSC BOX 20129, CAMP LEJEUNE, NC 28454-0129
(910) 451-6943
Mailing address
301 WOODRUFF CT, HUBERT, NC 28539
(619) 341-1076
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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