Mr. Peter Moreno IV, SOIDC
Mr. Peter Moreno IV, SOIDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
Psc Box 20183 2D Marine Special Operations BattalionCamp Lejeune, NC 28542-0116
Phone: (910) 440-7704
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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 | 1043595861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2011 |
| Last updated in NPPES | October 12, 2011 |
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