Individual
ANTHONY JOSEPH WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2D MARINE RAIDER BATTALION, CAMP LEJEUNE, NC 28542
(224) 545-3629
Mailing address
2D MARINE RAIDER BATTALION PSC BOX 20183, CAMP LEJEUNE, NC 28542
(224) 545-3629
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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