Individual
MR. CORIOUNO LEE BRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
USCG HQ, COMDT (CG-1122), 2100 2ND ST RM5314, WASHINGTON, DC 20593-0001
(202) 267-0801
Mailing address
USCG HQ, COMDT (CG-1122), 2100 2ND ST RM 5314, WASHINGTON, DC 20593
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
24720000X
CT
Other
Enumeration date
03/08/2006
Last updated
07/08/2009
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