DANIEL THOMAS SECOR

CAMP LEJEUNE, NC
NPI1932497070
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-07-11
Last Update Date2011-07-11
Business Address
-- DANIEL THOMAS SECOR
66A COURTHOUSE RD.
CAMP LEJEUNE, NC 28542-0183
Phone number: 910-440-7704
Mailing Address
-- DANIEL THOMAS SECOR
PSC 20183
CAMP LEJEUNE, NC 28542-0183
Phone number: 910-440-7704