U.s. Coast Guard Group/air Station Humboldt Bay Clinic

NPI 1003998295 - Clinic/Center - 261Q00000X

NPI Details
NPI 1003998295
Enumeration Date 10/19/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name EDGARDO CABUNOC EDGARDO
Position CLINIC ADMINISTRATOR
Phone (707) 839-6176
Fax
Practice Location
1001 LYCOMING AVE
MCKINLEYVILLE CA, 95519-9308, US
Phone (707) 839-6176
Fax
Business Location
1001 LYCOMING AVE
MCKINLEYVILLE CA, 95519-9308, US
Phone (707) 839-6176
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State DO Columbia
License Number =========
Remove 1003998295 NPI Number
 

According to our database, U.s. Coast Guard Group/air Station Humboldt Bay Clinic NPI is 1003998295, taxonomy code is 261Q00000X and license number is =========, license state is located at DO Columbia. U.s. Coast Guard Group/air Station Humboldt Bay Clinic physically located at 1001 Lycoming Ave, Mckinleyville CA, 95519-9308. NPI Number 1033115704 has the healthcare provider type.

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1003998295 NPI number is provided on an as is basis without warranty of any kind. 1003998295 is maintained by the National Plan & Provider Enumeration System. The contents of U.s. Coast Guard Group/air Station Humboldt Bay Clinic are for informational purposes only.