ANDREW LEE BLALOCK

NIANTIC, CT
NPI1447557657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-02-24
Last Update Date2011-02-24
Business Address
-- ANDREW LEE BLALOCK IDC
97 W MAIN ST APT 47
NIANTIC, CT 06357-1749
Phone number: 305-492-5489
Mailing Address
-- ANDREW LEE BLALOCK IDC
97 WEST MAIN ST APT 47
NIANTIC, CT 06357-1731
Phone number: 305-492-5489