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Individual

MICHAEL AMESQUITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1167
Mailing address
PO BOX 888, FREDERICKSBURG, VA 22404-0888
(866) 898-7138

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101243490
VA

Other

Enumeration date
06/15/2008
Last updated
08/25/2008
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