Baldemar Villarreal, IDC

NPI #1346092160 in Groton, Connecticut

Provider Information

NPI Number
1346092160
Entity Type
Individual
Name
Baldemar Villarreal, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Apr 4, 2024
Last Updated
Apr 4, 2024

Practice Location

Address
BLDG 159 TROUT AVE
City
Groton
ZIP Code
06340
Phone
(210) 815-0930

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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