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Jerricson Barlis Peralta, IDC
Independent Duty Corpsman in Kittery, Maine
NPI 1740719814

Jerricson Barlis Peralta is a Independent Duty Corpsman based in San Diego, ME and is specialized in Independent Duty Corpsman. Jerricson Barlis Peralta practices in Kittery, ME and has the professional credentials of IDC. The NPI Number for Jerricson Barlis Peralta is 1740719814 and holds a License No. (Maine).

The current practice location address for Jerricson Barlis Peralta is 402 Goodrich Avenue, Kittery, ME and can be reached out via phone at 207-438-1781.

Location: 402 Goodrich Avenue, Kittery, ME, 92120-2478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740719814
Provider Name
Jerricson Barlis Peralta
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
402 Goodrich Avenue, Kittery, ME, 92120-2478
Phone Number
207-438-1781
Fax Number
Provider Enumeration Date
06/12/2017
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
402 Goodrich Avenue
City
Kittery
State
Maine
Zip
03904
Phone Number
207-438-1781
Fax Number
person
Provider Business Mailing Address Details
Address
402 Goodrich Avenue
City
Kittery
State
Maine
Zip
03904
Phone Number
207-438-1781
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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