Individual
KENNETH ALOKA WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
151 BURNINGTREE DR, GROTON, CT 06340-3154
(714) 280-7672
Mailing address
151 BURNINGTREE DR, GROTON, CT 06340-3154
(714) 280-7672
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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