Individual
JOSE DABU LEONCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 NE WASHINGTON HWY, CHESAPEAKE, VA 23323
(757) 485-5371
(757) 485-4590
Mailing address
1061 NE WASHINGTON HWY, CHESAPEAKE, VA 23323
(757) 485-5371
(757) 485-4590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5676380
—
VA
Enumeration date
08/10/2006
Last updated
07/08/2007
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