Individual
COREY LEE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NAVY HEALTH CLINIC HAWAII, MAKALAPA FAMILY PRATICE CLINIC, PEARL HARBOR, HI 96706
(760) 500-4000
Mailing address
91-2055 KAIOLI ST APT 3902, EWA BEACH, HI 96706-6151
(760) 500-4000
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/02/2009
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