Ryan Jackson Coulombe, SUBMARINE IDC
NPI #1467000901 in Lunenburg, Massachusetts
Provider Information
- NPI Number
- 1467000901
- Entity Type
- Individual
- Name
- Ryan Jackson Coulombe, SUBMARINE IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SUBMARINE IDC
- Enumeration Date
- Aug 28, 2019
- Last Updated
- Aug 28, 2019
Practice Location
- Address
- 22 THE LN
- City
- Lunenburg
- State
- Massachusetts
- ZIP Code
- 01462-1800
- Phone
- (978) 855-2432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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