NPI | 1588094213 |
---|---|
Doing Business As | 2/2 EBH CLINIC-JBLM |
Entity Type | Organization |
Authorized Contact | KAREN MADY Tpc Manager 253-968-6598 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2013-11-15 |
Last Update Date | 2015-04-13 |