Individual
MR. NASH RICHARD GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
456-462 POCAHONTAS ST, NORFOLK, VA 23511
(757) 445-5446
Mailing address
USS STOUT (DDG 55 ), UNIT 100290, BOX 1, FPO, AE 09587-1273
(757) 444-8814
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8173074
DRIVER'S LICENSE
CA
Enumeration date
04/29/2019
Last updated
04/29/2019
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