BALDEMAR VILLARREAL

GROTON, CT
NPI1346092160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-04-04
Last Update Date2024-04-04
Business Address
BALDEMAR VILLARREAL IDC
BLDG 159 TROUT AVE
GROTON, CT 06340
Phone number: 210-815-0930
Mailing Address
BALDEMAR VILLARREAL IDC
60 ARROWOOD DR
GROTON, CT 06340-2544
Phone number: 210-815-0930