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Individual

WHITNEY JAMES COPPOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4828 HARBOR OAKS WAY, VIRGINIA BEACH, VA 23455
(757) 636-6521
(888) 417-8523
Mailing address
156 BURNETTS WAY, SUFFOLK, VA 23434-8166
(757) 934-6470
(757) 934-6471

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/10/2012
Last updated
05/06/2019
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