Individual
CHRISTOPHER DARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SARIDC
Contact information
Practice address
3D MSOB, PSC BOX 20073, CAMP LEJEUNE, NC 28546-0073
(240) 320-4704
Mailing address
6839 BALTIMORE RD, TARAWA TERRACE, NC 28543-1403
(240) 320-4704
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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