Jesse James Anthony, SOIDC
Jesse James Anthony, SOIDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1ST Mar Rdr Bn Mrr Marforsoc Bldg 132Camp Lejeune, NC 28542
Phone: (910) 440-2497
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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 | 1205501384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | No |
| NPI enumerated | August 11, 2021 |
| Last updated in NPPES | August 11, 2021 |
| Certification date | July 16, 2021 |
| Mailing address | 1st Mar Rdr Bn Mrr Marforsoc, Pcs Box 20184, Camp Lejeune, NC 28542 |
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