Individual
JOSE MIGUEL DE JESUS-CARRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG A-71 SNEADS FERRY RD., CAMP LEJEUNE, NC 28542-0138
(910) 440-7703
Mailing address
5-3845 COMBAT MEDIC DRIVE, FORT BRAGG, NC 28310-9610
(910) 394-1059
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
08/29/2023
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