Individual
VINCENT FALCETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 C STREET, BOX 20173, CAMP LEJEUNE, NC 28542-0173
(760) 975-5388
Mailing address
PSC BOX 20173, CAMP LEJEUNE, NC 28542-0173
(760) 975-5388
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
07/31/2012
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