Individual
DR. RISE FAITH E DAJAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4053 TAYLOR RD, SUITE K, CHESAPEAKE, VA 23321-5537
(757) 484-3012
(757) 686-3025
Mailing address
4053 TAYLOR RD, SUITE K, CHESAPEAKE, VA 23321-5537
(757) 638-0085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-02026709
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073296
ANTHEM
VA
Enumeration date
07/02/2006
Last updated
11/29/2007
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