Individual
JACK ANDREW PEARCE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 725-8912
Mailing address
AREA 41 BARRACKS, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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