NICOLAS ALLEN OERTLING

CAMP LEJEUNE, NC
NPI1700545597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2021-12-09
Last Update Date2021-12-09
Business Address
NICOLAS ALLEN OERTLING SOIDC
1ST MAR RDR BN MRR MARFORSOC
CAMP LEJEUNE, NC 28542
Phone number: 910-440-3944
Mailing Address
NICOLAS ALLEN OERTLING SOIDC
PCS BOX 20184
CAMP LEJEUNE, NC 28542
Phone number: 910-440-3944