SearchVirginiaIndependent Duty Corpsman

Ernesto Carrasquillo, IDC

NPI 1932533601 · on the registry since 2013 · sole proprietor

Practice

Address
1804 Crestmont Place
Apt 302
Chesapeake, VA 23320
Phone
(757) 651-7360

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-29

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 Virginia