Individual
BERNARDO CANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMT
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-6133
Mailing address
1342 GRAYDON AVE, NORFOLK, VA 23507-1009
(347) 449-2069
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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