-- DENNIS BUENAVENTURA CUSTODIO Independent Duty HM ⚕️ Washington 1013264423

NPI	1013264423
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date	2012-08-06
Last Update Date	2012-08-06

-- DENNIS BUENAVENTURA CUSTODIO Independent Duty HM

69 TROUT AVE NAVAL UNDERSEA MEDICAL INSTITUTE

GROTON, CT 06349

Phone number: 253-905-8239

-- DENNIS BUENAVENTURA CUSTODIO Independent Duty HM

6910 227TH STREET CT E

SPANAWAY, WA 98387-5841

Phone number: 253-905-8239