Individual
NOEL ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
1ST MARINE SPECIAL OPERATIONS BATTALION, BOX 555341, CAMP PENDLETON, CA 92055
(760) 725-5298
Mailing address
BOX 555341, 1ST MARINE SPECIAL OPERATIONS BATTALION, CAMP PENDLETON, CA 92055
(760) 725-5298
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
01105443NA
NC
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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