Individual
JUAN C ROBAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 483-8596
Mailing address
300 E MAIN ST, NORFOLK, VA 23510-1753
(571) 613-1676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61308683
WA
Other
Enumeration date
12/03/2018
Last updated
09/23/2024
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