Individual
MARKEECE ONEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
13020 AMESBURY ST, WOODBRIDGE, VA 22192-3702
(571) 991-6619
Mailing address
13020 AMESBURY ST, WOODBRIDGE, VA 22192-3702
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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