Vjacelsavs Asme Valid NPI
Individual provider · Independent Duty Corpsman · Groton, CT
- NPI
- 1336933902
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-04-08
- Last updated
- 2025-04-08
Practice location
390 Burningtree Dr
Groton, CT 06340-3106
(310) 863-1104