Individual
ELIZABETH NICOLE SIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HM IDC
Contact information
Practice address
NAVY MEDICINE READINESS AND TRAINING UNIT GROTON, 1 WAHOO AVE, GROTON, CT 06349
(860) 694-4123
Mailing address
USS MICHIGAN- COMMANDER SUB GROUP NINE, 2150 THRESHER AVE, SILVERDALE, WA 98315-2150
(360) 396-6821
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
07/01/2025
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