Comdt(Cg-1122) US Caost Guard
Comdt(Cg-1122) US Caost Guard is an Other Technician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2006.
- Licensed in
- DC
- In the registry since
- 2006
Practice location Address checks out
2100 2nd St SW Ste 5314Washington, DC 20593-0002
Phone: (757) 856-2230
Fax: (757) 856-2276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence 24720000X (DC) |
|---|
Record details
| NPI number | 1053406348 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yusuf Williams — Health Services Technician · (757) 856-2230 |
| NPI enumerated | October 4, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 |
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Patrick Robert Coppo, HEALTHSERVICETECH
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Mr. Charles Anthony Coppola Jr., RTR
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Mrs. Jennifer Corns
2100 2nd St SW Ste 5314, Washington, DC 20593-0002 · (305) 953-2266