Individual
DONALD IRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 CHAPEL ST, HAMPTON, VA 23669-3912
(757) 287-2695
Mailing address
445 CHAPEL ST, HAMPTON, VA 23669-3912
(757) 287-2695
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
59104B
NJ
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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