Individual
CHRISTIAN JERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8389 HICKORY PL NE, BREMERTON, WA 98311-8769
(479) 221-4043
Mailing address
8389 HICKORY PL NE, BREMERTON, WA 98311-8769
(479) 221-4043
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
05/09/2023
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