SearchConnecticutIndependent Duty Corpsman

Jakarta Crafton, IDC

NPI 1194120188 · on the registry since 2014

Practice

Address
15 Cypress Ln
Groton, CT 06340
Phone
(904) 318-3271

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2014-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut