Individual
ABDALLA ABOUHAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SO-ATP
Contact information
Practice address
2D RECONNAISSANCE BN, PCS 20138, CAMP LEJEUNE, NC 28542-0138
(910) 440-7703
Mailing address
2D RECONNAISSANCE BATTALION, PCS BOX 20138, CAMP LEJEUNE, NC 28542-0138
(910) 440-7703
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
02238959AA
NC
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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