ETHAN JAMES MELONE

FPO, AP
NPI1912789710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: NC  02236644EM)
Enumeration Date2023-10-17
Last Update Date2023-10-17
Business Address
ETHAN JAMES MELONE SOIDC
UNIT 36180 3D RECONNAISSANCE BATTALION, H&S, BAS
FPO, AP 96389-6180
Phone number: 703-597-3817
Mailing Address
ETHAN JAMES MELONE SOIDC
10025 MARSHALL POND RD
BURKE, VA 22015-3735
Phone number: 703-597-3817
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