Organization
USCG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE ASHLEY YOUNG LAB TECH (HEALTH SERVICE TECH)
(510) 437-3582
Entity
Organization
Contact information
Practice address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 407-7797
Mailing address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 437-3582
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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