Organization
SURFACE WARFARE MEDICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE NASH IDC (INDEPENDANT DUTY CORPSMAN)
(716) 951-9449
Entity
Organization
Contact information
Practice address
14 RUDDER CT SW, BOLLING AFB, BOLLING AFB, DC 20032-7427
(716) 951-9449
Mailing address
14 RUDDER CT SW, BOLLING AFB, BOLLING AFB, DC 20032-7427
(716) 951-9449
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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