Individual
JULIO ESQUILIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
580 USS MARIANO G. VALLEJO AVENUE, KINGS BAY, GA 31547-2626
(912) 573-2939
Mailing address
95138 WOODBRIDGE PKWY, #208, FERNANDINA BEACH, FL 32034-8755
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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