JOSE LUIS DELGADO

GROTON, CT
NPI1053692657
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-09-09
Last Update Date2011-09-09
Business Address
Mr. JOSE LUIS DELGADO
244 OHIO AVE
GROTON, CT 06340-6109
Phone number: 860-857-3279
Mailing Address
Mr. JOSE LUIS DELGADO
244 OHIO AVE
GROTON, CT 06340-6109
Phone number: