Individual
MR. ROMUALDO HUMARANG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
43 BURNINGTREE DR, GROTON, CT 06340-3103
(760) 819-9313
Mailing address
43 BURNINGTREE DRIVE, GROTON, CT 06340
(760) 819-9313
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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