IndividualActive
Javier Molina, SUB IDC
NPI 1114525730 · Independent Duty Corpsman · Silverdale, WA
Provider details
- NPI number
- 1114525730
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUB IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2150 Thresher Ave
Silverdale, WA 98315-2103
Phone: (510) 331-9290
Approximate (ZIP-level) locationGet directions
Mailing address
2150 Thresher Ave
Silverdale, WA 98315-2150
Registry dates
- Enumerated
- 2020-10-15
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.