Organization
US NAVY
Active
Other names
Mobile Diving & Salvage Unit - Two
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO LUIS SANCHEZ JR. IDC (INDEPENDENT DUTY CORPSMAN)
(757) 462-3178
Entity
Organization
Contact information
Practice address
5972 BEECHWALK DR, VIRGINIA BEACH, VA 23464-4917
(850) 774-5768
Mailing address
5972 BEECHWALK DRIVE, VIRGINIA, VA 23464
(850) 774-5768
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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