IndividualActive
Enrique Pallesco, SUBMARINE IDC
NPI 1487953444 · Independent Duty Corpsman · Smithfield, VA
Provider details
- NPI number
- 1487953444
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUBMARINE IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
16349 Smithfield Heights Dr
Smithfield, VA 23430-7096
Phone: (757) 771-1162
Approximate (ZIP-level) locationGet directions
Mailing address
16349 Smithifeld Heights Drive
Smithfield, VA 23430
Registry dates
- Enumerated
- 2011-03-16
- Last updated
- 2011-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.