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Enrique Villanueva, SOIDC
Independent Duty Corpsman in Camp Pendleton, California
NPI 1508527060

Enrique Villanueva is a Independent Duty Corpsman based in Camp Pendleton, CA and is specialized in Independent Duty Corpsman. Enrique Villanueva practices in Camp Pendleton, CA and has the professional credentials of SOIDC. The NPI Number for Enrique Villanueva is 1508527060 and holds a License No. (California).

The current practice location address for Enrique Villanueva is Bldg 210730 C Street, Camp Pendleton, CA and can be reached out via phone at 407-433-7822.

Location: Bldg 210730 C Street, Camp Pendleton, CA, 92055-5243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508527060
Provider Name
Enrique Villanueva
Credential
SOIDC
Provider Entity Type
Individual
Gender
Male
Address
Bldg 210730 C Street, Camp Pendleton, CA, 92055-5243
Phone Number
407-433-7822
Fax Number
Provider Enumeration Date
01/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Bldg 210730 C Street
City
Camp Pendleton
State
California
Zip
92055-5243
Phone Number
407-433-7822
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg 210730 C Street
City
Camp Pendleton
State
California
Zip
92055-5243
Phone Number
407-433-7822
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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