IndividualActive
Christian Jerry
NPI 1811609142 · Independent Duty Corpsman · Bremerton, WA
Provider details
- NPI number
- 1811609142
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
8389 Hickory Pl Ne
Bremerton, WA 98311-8769
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2023-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.