Dennis Buenaventura Custodio, INDEPENDENTDUTYHM
Dennis Buenaventura Custodio, INDEPENDENTDUTYHM is an Independent Duty Corpsman in Groton, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
69 Trout Ave Naval Undersea Medical InstituteGroton, CT 06349
Phone: (253) 905-8239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1013264423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | INDEPENDENTDUTYHM |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2012 |
| Last updated in NPPES | August 6, 2012 |
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