Individual
MS. MARY JO D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 GOOCH DRIVE, COLLEGE OF WILLIAM AND MARY, WILLIAMSBURG, VA 23185-8795
(757) 221-4386
(757) 221-1245
Mailing address
1 GOOCH DRIVE, STUDENT HEALTH CENTER, WILLIAMSBURG, VA 23185-8795
(757) 221-4386
(757) 221-1245
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024127880
VA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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