GEORGES CUSTODIO TAINO

BREMERTON, WA
NPI1366499253
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2006-05-27
Last Update Date2007-07-08
Business Address
MR. GEORGES CUSTODIO TAINO IDC
1400 FARRAGUT AVE
BREMERTON, WA 98314-6001
Phone number: 360-476-4023
Mailing Address
MR. GEORGES CUSTODIO TAINO IDC
5120 NW WHISPER ST
SILVERDALE, WA 98383-8338
Phone number: 360-698-2773