Individual
MATTHEW KEITH RANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2D MARINE BATTALION, AID STATION, CAMP LEJEUNE, NC 28542
(910) 440-7704
Mailing address
PSC BOX 20116, CAMP LEJEUNE, NC 28542
(910) 440-7704
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
07/27/2012
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