Individual
MANJU TREESA JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5436 BURLINGTON CT, WILLIAMSBURG, VA 23188-7616
(757) 968-0936
Mailing address
HAMPTON NEWPORT NEWS CSB, 600 MEDICAL DRIVE, HAMPTON, VA 23666-7616
(757) 968-0936
(757) 788-0934
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024188909
VA
Other
Enumeration date
12/07/2023
Last updated
01/07/2025
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