Individual
JARRYL GATLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 WHITE OAK DR, VIRGINIA BEACH, VA 23462-4221
(510) 798-2649
Mailing address
516 WHITE OAK DR, VIRGINIA BEACH, VA 23462-4221
(510) 798-2649
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A60303723
VA
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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