Individual
MR. GEORGES CUSTODIO TAINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1400 FARRAGUT AVE, BREMERTON, WA 98314-6001
(360) 476-4023
Mailing address
5120 NW WHISPER ST, SILVERDALE, WA 98383-8338
(360) 698-2773
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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