DAVID ANDREW PETERSON

GROTON, CT
NPI1639147606
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
MR. DAVID ANDREW PETERSON
NOMI DET NUMI SUBMARINE BASE NLON BUILDING 159
GROTON, CT 06349
Phone number: 860-694-2876
Mailing Address
MR. DAVID ANDREW PETERSON
125 HICKORY ST
NORWICH, CT 06360-4634
Phone number: 860-514-5293