Individual
MR. JODY GENE FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM
Contact information
Practice address
PSC BOX 20116, CAMP LEJEUNE, NC 28542
(910) 440-0683
Mailing address
PSC BOX 20116, CAMP LEJEUNE, NC 28542
(910) 440-0683
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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