Individual
MR. BENNY HUSINECKY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
221 MICA AVE, APT 304, VIRGINIA BEACH, VA 23462-4579
(850) 723-4506
Mailing address
221 MICA AVE, APT 304, VIRGINIA BEACH, VA 23462-4579
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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