WILLIAM LEE FAIRALL

WILMINGTON, NC
NPI1336471374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-02-02
Last Update Date2010-02-02
Business Address
-- WILLIAM LEE FAIRALL SOIDC
8161 RED COCKADED CT APT 103
WILMINGTON, NC 28411-7186
Phone number: 443-521-1778
Mailing Address
-- WILLIAM LEE FAIRALL SOIDC
8161 RED COCKADED CT APT 103
WILMINGTON, NC 28411-7186
Phone number: 443-521-1778