| NPI | 1508856212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUN AI CHO Occupational Health Nurse 053-470-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient (Licence: VA 0001131457) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2022-07-21 |