Individual
DONNELL BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 BRENDLE CT, VIRGINIA BEACH, VA 23464-6760
(757) 343-2020
Mailing address
1509 BRENDLE CT, VIRGINIA BEACH, VA 23464-6760
(757) 343-2020
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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