Individual
PAUL FIORAVANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
5833 HARBOUR VIEW BLVD STE C, SUFFOLK, VA 23435-3760
(757) 539-3911
(757) 925-0615
Mailing address
5833 HARBOUR VIEW BLVD STE C, SUFFOLK, VA 23435-3760
(757) 539-3911
(757) 925-0615
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000620
VA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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