Jerricson Barlis Peralta, IDC
Jerricson Barlis Peralta, IDC is an Independent Duty Corpsman in Kittery, Maine. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
402 Goodrich AveKittery, ME 03904
Phone: (207) 438-1781
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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 | 1740719814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | June 12, 2017 |
| Last updated in NPPES | January 27, 2025 |
| Certification date | January 27, 2025 |
| Mailing address | 6850 Mission Gorge Rd Apt 1248, San Diego, CA 92120-2478 |
Other providers in Kittery
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Andrew Azevedo, IDC
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Gage David-Clayton Kahn
402 Goodrich Ave, Kittery, ME 03904 · (207) 438-4940