Individual
JOHN DAVID PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
814 RADFORD BLVD, BLDG 7000, ALBANY, GA 31704-1130
(229) 639-7886
Mailing address
814 RADFORD BLVD, BLDG 7000, ALBANY, GA 31704-1130
(229) 639-7886
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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