Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCELLA JO MEACHUM (HEALTH SERVICES TECHNITION/ E-5)
(510) 437-3582
Entity
Organization
Contact information
Practice address
1 EAGLE ROAD, COAST GUARD ISLAND, ALAMEDA, CA 94501
(510) 437-3582
Mailing address
1 EAGLE ROAD, COAST GUARD ISLAND, ALAMEDA, CA 94501
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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