BRYAN VILLELA

CAMP LEJEUNE, NC
NPI1427666700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-07-22
Last Update Date2020-07-22
Business Address
BRYAN VILLELA SOIDC
2D MARINE RAIDER BATTALION
CAMP LEJEUNE, NC 28540
Phone number: 910-440-7704
Mailing Address
BRYAN VILLELA SOIDC
206 PINE ISLAND DR
HAMPSTEAD, NC 28443-6500
Phone number: 347-850-5560
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