Organization
TRAVIS AF BASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MANNEL (TRANSITIONALYR PROGRAM COORDINATOR)
(707) 423-7182
Entity
Organization
Contact information
Practice address
19728 SE 35TH WAY, CAMAS, WA 98607-8855
(240) 888-5977
Mailing address
19728 SE 35TH WAY, CAMAS, WA 98607-8855
(240) 888-5977
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
06/08/2013
Last updated
06/08/2013
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