Individual
MR. MARIO ESTEBAN BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2D BATTALION 2D MARINES 2D MARINE DIVISION, PSC BOX 20095, CAMP LEJEUNE, NC 28542-0095
(910) 451-4042
Mailing address
2D BATTALION 2D MARINES 2D MARINE DIVISION, PSC BOX 20095, CAMP LEJEUNE, NC 28542-0095
(910) 451-4042
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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