Individual
DARYL VISTA LUMAGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 AYRES CIRCLE, BLDG. H-1, PNSY, PORTSMOUTH, NH 03804
(207) 438-2450
Mailing address
63 MOORE ST, KITTERY, ME 03904-1371
(310) 940-1577
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
01/03/2019
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