Individual
VICTORIA ELAINE CHUCHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
IS COMDT # CG-1122, U.S.COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(252) 335-6460
(252) 335-6255
Mailing address
274 GULFSTREAM DR, ELIZABETH CITY, NC 27909-6704
(252) 335-6460
(252) 335-6255
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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