NPI 1942384383
Comdt (cg-1122)
Practice location
- Address
- U S Coast Guard 2100 2nd St SW STE 5314, Washington, DC 20593-0001
- Phone
- (707) 765-7200
- Fax
- (707) 765-7521
Authorised official
- Name
- Desiree Lorelei Dias
- Title
- Technician
- Phone
- (707) 765-7200
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1942384383
- Entity type
- Organization
- NPI issued
- 24 Oct 2006
- Record last updated
- 15 Nov 2007
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.