JOHN DAVID CLELLAND

GROTON, CT
NPI1235561804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
-- JOHN DAVID CLELLAND SUB IDC
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 330-573-1202
Mailing Address
-- JOHN DAVID CLELLAND SUB IDC
168 ARROWOOD DR
GROTON, CT 06340-2509
Phone number: 330-573-1202