Individual
NICHOLAS CHARLES PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
COMBAT LOGISTICS BATTALION-13, PO BOX 555707, CAMP PENDLETON, CA 92055
(760) 725-8687
Mailing address
PO BOX 555707, CAMP PENDLETON, CA 92055-5707
(760) 725-8687
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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