ROMUALDO HUMARANG

GROTON, CT
NPI1205115854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-08-15
Last Update Date2011-08-15
Business Address
Mr. ROMUALDO HUMARANG IDC
43 BURNINGTREE DR
GROTON, CT 06340-3103
Phone number: 760-819-9313
Mailing Address
Mr. ROMUALDO HUMARANG IDC
43 BURNINGTREE DRIVE
GROTON, CT 06340
Phone number: 760-819-9313
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