Individual
THEODORE SHERMAN BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
COMMANIND OFFCER 2D RECONNAISSANCE BATTALION, CAMP LEJUENE, NC 28546
(201) 951-8952
Mailing address
COMMANDING OFFICER 2D RECONNAISSANCE BATTALION, PSC BOX 20138, CAMP LEJEUNE, NC 28542-0138
(910) 440-7703
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
NC
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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