Organization
COMDT (CG-1122)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE LORELEI DIAS (TECHNICIAN)
(707) 765-7200
Entity
Organization
Contact information
Practice address
U S COAST GUARD 2100 2ND ST SW STE 5314, WASHINGTON, DC 20593-0001
(707) 765-7200
(707) 765-7521
Mailing address
U S COAST GUARD 2100 2ND ST SW STE 5314, WASHINGTON, DC 20593-0001
(707) 765-7200
(707) 765-7521
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
11/15/2007
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