NPI 1063460210

Neilrose Laciste Gervacio, IDC

Practitioner Independent Duty Corpsman Fpo, AP

Practice location

Address: Camp Schwab Bmc 3d Med Bn, 3d Mlg, C Co, Fpo, AP 96604
Phone: 011816117252272
Mailing address: Psc 557 Box 2631, Fpo, AP 96379

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Armed Forces Pacific →

Registry record

NPI: 1063460210
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2006
Record last updated: 13 Jul 2026

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.