LEONARDO LEWIS FARIN-MEDINA

GROTON, CT
NPI1558627802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-04-11
Last Update Date2012-06-06
Business Address
-- LEONARDO LEWIS FARIN-MEDINA
159 TROUT AVE, BLDG. 86 NUMI, NAVAL SUBMARINE BASE, NEW LONDON
GROTON, CT 06349-5159
Phone number: 860-694-2876
Mailing Address
-- LEONARDO LEWIS FARIN-MEDINA
PO BOX 159 NAVAL SUBMARINE BASE, NEW LONDON
GROTON, CT 06349-5159
Phone number: 860-964-2876
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