Organization
USCG RALPH NIX MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDELLE MARIE DELPH EMT-B (HEALTH SERVICES TECHNICIAN)
(707) 765-7702
Entity
Organization
Contact information
Practice address
USCG HQ COMDT (CG-1122), 2100 SECOND STREET SOUTH WEST, WASHINGTON, DC 20593-0001
(202) 475-5181
(202) 475-5909
Mailing address
USCG HQ COMDT (CG-1122), 2100 SECOND STREET SOUTH WEST, WASHINGTON, DC 20593-0001
(202) 475-5181
(202) 475-5909
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
11/14/2007
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