Individual
JUAN ALFRED ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEALTH SERVICE TECH
Contact information
Practice address
U S COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(510) 437-3615
Mailing address
U S COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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