VICTOR DESANTIS

CAMP LEJEUNE, NC
NPI1972871564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-12-09
Last Update Date2011-12-09
Business Address
-- VICTOR DESANTIS SOIDC
A-66 SNEAD'S FERRY RD
CAMP LEJEUNE, NC 28542-0183
Phone number: 910-440-7704
Mailing Address
-- VICTOR DESANTIS SOIDC
150 CORNEL LN
HAMPSTEAD, NC 28443
Phone number:
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