NPI 1174839880

Jesse Lee Palacios

Practitioner Independent Duty Corpsman Gulfport, MS

Practice location

Address: 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007
Phone: (228) 871-2810
Fax: (228) 871-2135

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Mississippi →

Registry record

NPI: 1174839880
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2010
Record last updated: 19 Aug 2010

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.