Individual
ANDRE MAURICE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
US COAST GUARD 2100 2ND ST STE 5314, WASHINGTON, DC 20593-0001
(757) 535-1437
Mailing address
US COAST GUARD 2100 2ND ST STE 5314, WASHINGTON, DC 20593-0001
(757) 535-1437
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24720000X
HEALTH SERVICE TECHNICIAN
DC
Enumeration date
03/16/2007
Last updated
07/08/2007
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