Jesse Lee Palacios II
NPI #1174839880 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1174839880
- Entity Type
- Individual
- Name
- Jesse Lee Palacios II
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Aug 19, 2010
- Last Updated
- Aug 19, 2010
Practice Location
- Address
- 5501 MARVIN SHIELDS BLVD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-9007
- Phone
- (228) 871-2810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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