AVERY JEROME HOLMES

CAMP LEJEUNE, NC
NPI1821324856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2009-10-27
Last Update Date2009-10-27
Business Address
-- AVERY JEROME HOLMES idc
BUILDING HP217 F ST BATTALION AID STATION 1ST BATTALION 2ND MARINES
CAMP LEJEUNE, NC 28542-0094
Phone number: 910-451-3607
Mailing Address
-- AVERY JEROME HOLMES idc
202 SILKY CT
RICHLANDS, NC 28574-7418
Phone number: 910-787-6358