ENRIQUE VILLANUEVA, SOIDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1508527060

Practice Address

BLDG 210730 C STREET
Camp Pendleton, CA 92055

Phone: (407) 433-7822

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1508527060 is the National Provider Identifier for ENRIQUE VILLANUEVA, SOIDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Camp Pendleton, CA. This NPI was enumerated on January 6, 2022.
ENRIQUE VILLANUEVA, SOIDC practices at BLDG 210730 C STREET, Camp Pendleton, CA 92055.

Quick Facts

NPI
1508527060
Type
Individual
Enumerated
Jan 6, 2022
Last Updated
Jan 6, 2022

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