Individual
MR. WILLIAM JESSIE CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
USCGC SPENCER, WMEC-905, 4000 COAST GUARD BLVD., PORTSMOUTH, VA 23703
(757) 483-8784
Mailing address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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