Organization
UNITIED STATES COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LYNN FLORES HS (TECHNICIAN)
(609) 898-6864
Entity
Organization
Contact information
Practice address
2100 2ND ST SW COMDT (CG-1122), SUITE 5314 US COAST GUARD, WASHINGTON, DC 20593
(609) 898-6610
Mailing address
1410 DELAWARE AVE APT C, CAPE MAY, NJ 08204-4037
(609) 898-3368
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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