Individual
MR. SEAN PATRICK MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
USN IDC
Contact information
Practice address
1636 REGULUS AVE, VIRGINIA BEACH, VA 23461
(757) 893-2393
Mailing address
2220 SCHOFIELD RD, VIRGININA BEACH, VA 23459-2845
(757) 763-4050
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
03/21/2011
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