Organization
USCG ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LYNN GOAD (HS2)
(860) 444-8402
Entity
Organization
Contact information
Practice address
USCG HQ, COMDT2100 (CG-1122) 2ND ST ROOM 5314, WASHINGTON, DC 20593-0001
(860) 444-8402
(860) 444-8412
Mailing address
USCG HQ, COMDT2100 (CG-1122) 2ND ST ROOM 5314, WASHINGTON, DC 20593-0001
(860) 444-8402
(860) 444-8412
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
07/21/2008
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