NPI 1053406348

Comdt(cg-1122) U.S. Caost Guard

Organisation Other Technician Washington, DC

Practice location

Address: 2100 2nd St SW Suite 5314, Washington, DC 20593-0002
Phone: (757) 856-2230
Fax: (757) 856-2276

Authorised official

Name: Yusuf D'Cobla Williams
Title: Health Services Technician
Phone: (757) 856-2230

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 24720000X (DC)

Other Technician, Other providers in District of Columbia →

Registry record

NPI: 1053406348
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.