U.s. Coast Guard Group/air Station Humboldt Bay Clinic
NPI #1003998295 in Mckinleyville, California
Provider Information
- NPI Number
- 1003998295
- Entity Type
- Organization
- Organization Name
- U.s. Coast Guard Group/air Station Humboldt Bay Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1001 LYCOMING AVE
- City
- Mckinleyville
- State
- California
- ZIP Code
- 95519-9308
- Phone
- (707) 839-6176
Authorized Official
- Name
- EDGARDO CABUNOC CAPACITE
- Title
- CLINIC ADMINISTRATOR
- Phone
- (707) 839-6176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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