Individual
MR. MICHAEL RAY STITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
COMMANDANT U S COAST GUARD, 2100 2ND STREET SW, SUITE 5314, WASHINGTON, DC 20593-0001
(410) 636-7506
(410) 636-7868
Mailing address
COMMANDANT U S COAST GUARD, 2100 2ND STREET SW, SUITE 5314, WASHINGTON, DC 20593-0001
(410) 636-7506
(410) 636-7868
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
24720000X
VA
Other
Enumeration date
05/01/2006
Last updated
11/07/2008
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