Individual
MR. CARLOS MANUEL SIGUENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(773) 318-6524
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(773) 318-6524
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
07/04/2023
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