Individual
BARON JOSPEH OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
A66 RIVER BASIN RD, CAMP LEJEUNE, NC 28452
(910) 440-7704
Mailing address
A66 RIVER BASIN ROAD, CAMP LEJEUNE, NC 28542-0183
(910) 440-7704
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1363972973
TRICARE
—
Enumeration date
04/06/2018
Last updated
06/16/2018
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