Individual
MARIO M FARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 THRESHER AVE, USS PENNSYLVANIA SSBN 735, SILVERDALE, WA 98315
(360) 476-6812
Mailing address
2100 THRESHER AVE, USS PENNSYLVANIA SSBN 735, SILVERDALE, WA 98315
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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