ALLAN WHITNEY

GROTON, CT
NPI1962834531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
-- ALLAN WHITNEY Sub IDC
327 OHIO AVE
GROTON, CT 06340-6111
Phone number: 817-648-9250
Mailing Address
-- ALLAN WHITNEY Sub IDC
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: