Individual
MIRIAM GALAN-DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 W BRAMBLETON AVE, SUITE 201, NORFOLK, VA 23510-1115
(757) 623-8642
(757) 623-4640
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024116561
VA
Other
Enumeration date
01/11/2007
Last updated
01/06/2020
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