NPI 1033398342

Brandon Balisacan Dela Cruz, IDC

Practitioner Independent Duty Corpsman Jacksonville, NC

Practice location

Address: D Street Building 202, Jacksonville, NC 28542
Phone: (910) 450-6109
Mailing address: Psc Box 20101, Camp Lejeune, NC 28542

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in North Carolina →

Registry record

NPI: 1033398342
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2007
Record last updated: 2 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.