Individual
PABLO YUGUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUB IDC
Contact information
Practice address
6 LAKE ST, GROTON, CT 06340-3318
(808) 365-9156
Mailing address
USS MINNESOTA, 783, FPO, AE 09578
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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