Individual
MR. JUNNE MORADA BERNARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5730 LOUISIANA ST, CAMP LEJEUNE, NC 28547-1222
(760) 390-7767
Mailing address
5730 LOUISIANA ST, CAMP LEJEUNE, NC 28547-1222
(760) 390-7767
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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