Individual
CODY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
1ST MARINE RAIDER BATTALION, CAMP LEJEUNE, NC 28512
(910) 440-2504
Mailing address
1ST MARINE RAIDER BATTALION, CAMP LEJEUNE, NC 28512
(910) 440-2504
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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