Individual
NICHOLE RUTH FREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 JUDE CT, VIRGINIA BEACH, VA 23464-6542
(757) 615-8106
Mailing address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
02/05/2021
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