Organization
COAST GUARD HEADQUARTERS
Active
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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