Individual
DAVID GINO MANFREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HS2
Contact information
Practice address
COMDT (CG-1122), U.S. COAST GUARD, 2100 2ND STREET SW, SUITE 5314, WASHINGTON, DC 20593
(707) 839-6562
Mailing address
COMDT (CG-1122), U.S. COAST GUARD, 2100 2ND STREET SW, SUITE 5314, WASHINGTON, DC 20593
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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