Individual
MARILYN R VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 W BRAMBLETON AVE, STE 100, NORFOLK, VA 23510-1115
(757) 627-6220
(757) 627-0200
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245545
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018449
VA
Other
Enumeration date
07/11/2008
Last updated
01/22/2020
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