NPI 1467000901

Ryan Jackson Coulombe, SUBMARINEIDC

Practitioner Independent Duty Corpsman Lunenburg, MA

Practice location

Address: 22 the Ln, Lunenburg, MA 01462-1800
Phone: (978) 855-2432

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1467000901
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2019
Record last updated: 28 Aug 2019

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.