Individual provider · Type 1 NPI

Mary Gwen Davenport Ix

Other Technician · Washington, DC

NPI number 1265559009 Active

Practice location

Comdt CG-1122 US Coast Guard, 2100 2nd St SW, Suite 5314
Washington, DC 20593-0001

Call (671) 355-4885 Map

Fax (671) 355-4928

Mailing address

Uscgc Sequoia Wlb 215, Victor Wharf Pier Three
Fpo, AP 96678 3922

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1265559009

Mary Gwen Davenport Ix's National Provider Identifier is 1265559009, issued on Mar 26, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Washington, DC. The record was last updated on Apr 20, 2008.