Individual
CHRISTOPHER NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
84 OHIO AVE, GROTON, CT 06340
(202) 631-3884
Mailing address
84 OHIO AVE, GROTON, CT 06340-6107
(202) 631-3884
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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