EDWIN GILBERTO DOMINGUEZ

NEWPORT, RI
NPI1871928853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-09-09
Last Update Date2013-09-09
Business Address
Mr. EDWIN GILBERTO DOMINGUEZ SFIDC
43 SMITH RD
NEWPORT, RI 02841-1006
Phone number: 401-841-6128
Mailing Address
Mr. EDWIN GILBERTO DOMINGUEZ SFIDC
22 ENTERPRISE CT
NEWPORT, RI 02840-1013
Phone number: 732-600-6575