Individual
DR. OWEN VILLAGONZALO MUANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 TURNPIKE ROAD, JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC, PORTSMOUTH, VA 23710
(757) 393-1136
(757) 393-5534
Mailing address
3960 TURNPIKE ROAD, JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC, PORTSMOUTH, VA 23710
(757) 393-1136
(757) 393-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16046
HI
207R00000X
Internal Medicine Physician
259838
NY
Other
Enumeration date
03/15/2011
Last updated
07/21/2014
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