NICHOLAS FARRIS

CAMP PENDLETON, CA
NPI1275113128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2021-04-13
Last Update Date2021-04-13
Business Address
NICHOLAS FARRIS SOIDC
4101 STUART MESA ROAD
CAMP PENDLETON, CA 92055
Phone number: 760-763-2118
Mailing Address
NICHOLAS FARRIS SOIDC
1ST RECONNAISSANCE BATTALION, PSC BOX 555584 4101 STUART MESA ROAD
CAMP PENDLETON, CA 92055
Phone number: 540-446-9171