Individual
JOSHUA PAUL BALICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
2D RECONNAISSANCE BATTALION, CAMP LEJEUNE, NC 28542
(757) 350-0757
Mailing address
553 MONTEGO CT, WILMINGTON, NC 28411-7162
(757) 350-0757
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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