MICHAEL C ETHEREDGE

LANGLEY AFB, VA
NPI1639729106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2019-09-17
Last Update Date2019-09-17
Business Address
Mr. MICHAEL C ETHEREDGE IDMT
77 NEALY AVE
LANGLEY AFB, VA 23665-2040
Phone number: 757-764-6800
Mailing Address
Mr. MICHAEL C ETHEREDGE IDMT
77 NEALY AVE
LANGLEY AFB, VA 23665-2040
Phone number: