MELANIO AYHON RIVERA

CAMP LEJEUNE, NC
NPI1407046766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
Mr. MELANIO AYHON RIVERA IDC
CG II MEF
CAMP LEJEUNE, NC 28542
Phone number: 910-451-0451
Mailing Address
Mr. MELANIO AYHON RIVERA IDC
211 MARINE DR
N TOPSAIL BEACH, NC 28460-6778
Phone number: 910-327-0636