NICHOLAS MANJARREZ

GROTON, CT
NPI1891229472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-04-20
Last Update Date2023-10-25
Business Address
Mr. NICHOLAS MANJARREZ IDC
159 TROUT AVENUE NAVAL UNDERSEA MEDICAL INSTITUTE
GROTON, CT 06349-5159
Phone number: 860-694-2876
Mailing Address
Mr. NICHOLAS MANJARREZ IDC
PO BOX 159
GROTON, CT 06349-5159
Phone number: 860-694-6453