JESSE JAMES ANTHONY

CAMP LEJEUNE, NC
NPI1205501384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2021-08-11
Last Update Date2021-08-11
Business Address
JESSE JAMES ANTHONY SOIDC
1ST MAR RDR BN MRR MARFORSOC BLDG 132
CAMP LEJEUNE, NC 28542
Phone number: 910-440-2497
Mailing Address
JESSE JAMES ANTHONY SOIDC
1ST MAR RDR BN MRR MARFORSOC PCS BOX 20184
CAMP LEJEUNE, NC 28542
Phone number: