Individual
MRS. SUSAN ELISSA DYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 483-8596
Mailing address
300 E MAIN ST STE 1000, NORFOLK, VA 23510-9109
(757) 403-3842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA51745
CA
Other
Enumeration date
04/19/2011
Last updated
11/01/2023
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