Daniel Lee Mayberry, IDC

Individual provider Independent Duty Corpsman · NPI 1760718092

Daniel Lee Mayberry, IDC is an Independent Duty Corpsman in M C B H Kaneohe Bay, Hawaii. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since: 2009

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Practice location Address checks out

3D Mardiv Det Regimental Aid Sta
M C B H Kaneohe Bay, HI 96863
Phone: (808) 343-7780

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary)	Taxonomy 1710I1002X

Record details

NPI number	1760718092
Entity type	Individual (Type 1)
Gender	Male
Credentials	IDC
Sole proprietor	Yes
NPI enumerated	October 21, 2009
Last updated in NPPES	October 21, 2009