Individual
ANGELO SORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
12401 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4311
(757) 877-0366
(757) 890-0238
Mailing address
12401 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4311
(757) 877-0366
(757) 890-0382
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004317
VA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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