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Individual

REYMOND GUZMAN PASCUAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
704 LONDON BLVD., PORTSMOUTH, VA 23704
(757) 397-7122
(757) 399-4919
Mailing address
704 LONDON ST, PORTSMOUTH, VA 23704-2413
(757) 397-7122
(757) 399-4919

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101031767
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007308043
VA
Enumeration date
08/15/2006
Last updated
08/24/2016
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