Organization
U. S. NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SARKODIE ACHEAMPONG IDC (INDEPENDENT DUTY CORPSMAN)
(619) 537-1335
Entity
Organization
Contact information
Practice address
3423 GUADALCANAL RD, BLDG 401 2ND DECK, SAN DIEGO, CA 92155-5000
(619) 537-1304
Mailing address
3423 GUADALCANAL RD, BLDG 401 2ND DECK, SAN DIEGO, CA 92155-5000
(619) 537-1304
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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