Individual
JAMES LADD ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMTIDC
Contact information
Practice address
455 HORNET AVE STE 101, JBPHH, HI 96860-3530
(918) 306-0365
(808) 541-2958
Mailing address
455 HORNET AVE STE 101, JBPHH, HI 96860-3530
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
09/07/2021
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