Organization
COAST GUARD HEADQUARTERS
Active
Other names
ISC Alameda Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUGENIA SAN LUIS TABERBERO (REGISTER NURSE)
(510) 437-3582
Entity
Organization
Contact information
Practice address
1 EAGLE RD, BLDG #1, ALAMEDA, CA 94501-5100
(510) 437-3582
Mailing address
2100 2ND STREET, SUITE 5314, WASHINGTON, DC 20593
(510) 437-3582
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
344918
CA
Other
Enumeration date
05/15/2007
Last updated
06/27/2008
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