Individual
MRS. MICHELLE SY GAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 YORKSHIRE LN, NEWPORT NEWS, VA 23608-9305
(757) 314-7668
Mailing address
848 YORKSHIRE LN, NEWPORT NEWS, VA 23608-9305
(757) 833-6179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001144137
VA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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