NPI 1063995637

Vanessa Poland

Practitioner Independent Duty Corpsman Groton, CT

Practice location

Address: 1 Wahoo Ave, Groton, CT 06349-2324
Phone: (619) 508-0035
Mailing address: PO Box 159, Groton, CT 06349-5159

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1063995637
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2018
Record last updated: 10 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.