AMILCAR IVAN RODRIGUEZ

FORT BRAGG, NC
NPI1194077677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
Mr. AMILCAR IVAN RODRIGUEZ SOIDC
1975 COMBAT MEDIC DR
FORT BRAGG, NC 28310-0001
Phone number: 910-396-4240
Mailing Address
Mr. AMILCAR IVAN RODRIGUEZ SOIDC
136 IVY STONE DR
RAEFORD, NC 28376-7381
Phone number: 910-396-4240