JUSTIN GAROFOLO MANNICK

JACKSONVILLE, NC
NPI1982837621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2009-08-28
Last Update Date2009-08-28
Business Address
MR. JUSTIN GAROFOLO MANNICK IDC
614 GRAYSTONE AVE
JACKSONVILLE, NC 28540
Phone number: 910-581-0733
Mailing Address
MR. JUSTIN GAROFOLO MANNICK IDC
302 VENETIAN BLVD
LINDENHURST, NY 11757-6307
Phone number: 910-581-0733