Back to Search
JACK THAMMAVONGSA
Independent Duty Corpsman
NPI: 1174848683Individual
Specialties, Licenses & Credentials
Independent Duty CorpsmanPrimary
Military Health Care Provider — Independent Duty Corpsman
Code: 1710I1002X
Contact & Hours
- Address
- 3D MED BN, 3D MLG, H&S CO UNIT #38447
FPO, AP 96604 - Phone
- (315) 623-4960
Quick Facts
- NPI
- 1174848683
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
Are you this provider?
Claim Your Profile