Individual
JOSIP NINRODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
3D MARINE RAIDER BATTALIOM, CAMP LEJEUNE, NC 28546
(910) 440-1947
Mailing address
1500 QUARTERS LANDING CIR APT 520, SNEADS FERRY, NC 28460-9674
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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