Jack Thammavongsa
Jack Thammavongsa is an Independent Duty Corpsman in FPO, Armed Forces Pacific. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address may be wrong
3D Med Bn 3D Mlg H&s Co Unit #38447FPO, AP 96604-8447
Phone: (315) 623-4960
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1174848683 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2010 |
| Last updated in NPPES | March 29, 2010 |
| Mailing address | Psc 482, Box 155, Fpo, AP 96362-9998 |
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