Search › North Carolina › Independent Duty Corpsman
Jesus Teddy Guillermo, IDC
NPI 1427444587 · on the registry since 2015
Practice
- Address
- Psc Box 20094
Camp Lejeune, NC 28542 - Phone
- (910) 451-3607
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina