Individual
CHRISTOPHER ROBIN MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NCWS 4, IBU 41, NNSY BLDG 11, PORTSMOUTH, VA 23709
(757) 967-4508
Mailing address
413 LAKE HAVASU DR, VIRGINIA BEACH, VA 23454-3976
(757) 340-4357
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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