PRUDENCIO CUPAT SY

GROTON, CT
NPI1952858482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
PRUDENCIO CUPAT SY IDC
BLDG 159 NAVSUBASE NLON NAVAL UNDERSEA MEDICAL INSTITUTE
GROTON, CT 06349-5159
Phone number: 860-694-2876
Mailing Address
PRUDENCIO CUPAT SY IDC
BLDG 159 NAVSUBASE NLON NAVAL UNDERSEA MEDICAL INSTITUTE
GROTON, CT 06349-5159
Phone number: 860-694-2876