JERRICSON BARLIS PERALTA

KITTERY, ME
NPI1740719814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-06-12
Last Update Date2025-01-27
Business Address
JERRICSON BARLIS PERALTA IDC
402 GOODRICH AVENUE
KITTERY, ME 03904
Phone number: 207-438-1781
Mailing Address
JERRICSON BARLIS PERALTA IDC
6850 MISSION GORGE RD APT 1248
SAN DIEGO, CA 92120-2478
Phone number: 818-263-5345
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