Individual
CECIL V GANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4092 FOXWOOD DR, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
Mailing address
PO BOX 7549, PORTSMOUTH, VA 23707-0549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001695
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010085632
—
VA
Enumeration date
07/13/2006
Last updated
03/07/2023
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