Individual
JEREMY K TORRISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
2D MARINE SPECIAL OPERATIONS BN, PSC BOX 20183, CAMP LEJEUNE, NC 28542-0183
(910) 450-7704
Mailing address
118 LONG LEAF DR, HAMPSTEAD, NC 28443-2411
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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