Individual
PAUL EZIEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 SPINNAKER CT, CHESAPEAKE, VA 23320-9430
(818) 640-4148
Mailing address
905 SPINNAKER CT, CHESAPEAKE, VA 23320-9430
(818) 640-4148
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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