Jerricson Barlis Peralta, IDC

NPI #1740719814 in Kittery, Maine

Provider Information

NPI Number: 1740719814
Entity Type: Individual
Name: Jerricson Barlis Peralta, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Jun 12, 2017
Last Updated: Jan 27, 2025

Practice Location

Address: 402 GOODRICH AVENUE
City: Kittery
State: Maine
ZIP Code: 03904
Phone: (207) 438-1781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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