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Individual

MRS. TANIA M PARISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1ST MEDICAL GROUP, 45 PINE RD, LANGLEY AFB, VA 23665-2080
(757) 764-6963
(757) 764-0975
Mailing address
1ST MEDICAL GROUP, 45 PINE RD, LANGLEY AFB, VA 23665-2080
(757) 764-6963
(757) 764-0975

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
PT 21340
FL

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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