Individual
BRYAN EUGENE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
2D RECONNAISSANCE BN, 2D MARINE DIVISION BLDG A-71, PSC BOX 20138, CAMP LEJEUNE, NC 28542-0138
(937) 825-6648
Mailing address
209 COASTAL DR, N TOPSAIL BEACH, NC 28460-9535
(937) 825-6648
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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