Individual
BRIAN HUNSICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1004 HERMITAGE RD, VIRGINIA BEACH, VA 23459-9100
(757) 462-3178
Mailing address
1004 HERMITAGE RD, VIRGINIA BEACH, VA 23459-9100
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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