ANATOLIY OLEXANDROVYCH GRYSHCHENKO

PORTSMOUTH, VA
NPI1881358851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2021-10-26
Last Update Date2021-10-26
Business Address
ANATOLIY OLEXANDROVYCH GRYSHCHENKO IDHS
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703-2135
Phone number: 757-483-8710
Mailing Address
ANATOLIY OLEXANDROVYCH GRYSHCHENKO IDHS
USCGC TAMPA 4000 COAST GUARD BLVD
APO, AA 23703
Phone number: