MATTHEW LYONS DALTON

NORTH STONINGTON, CT
NPI1184637829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- MATTHEW LYONS DALTON
33 PINECREST RD
NORTH STONINGTON, CT 06359-1527
Phone number: 860-535-2004
Mailing Address
-- MATTHEW LYONS DALTON
NUMI BOX 159 SUBASE NEW LONDON
GROTON, CT 06349
Phone number: 860-694-2876