Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAILPIETRO ORENA DRILON (INDEPENDENT DUTY CORPSMAN)
(626) 215-1564
Entity
Organization
Contact information
Practice address
1ST MARDIV 7TH MARINE REG, NAVPERS OFFICE BLDG 1525, 29 PALMS, CA 92278-8150
(760) 830-5707
Mailing address
10614 PINEWOOD AVE, TUJUNGA, CA 91042-1513
(818) 353-8277
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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