Individual
JUANITO SANTOS DUALAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1792 MOONSTONE DR, VIRGINIA BEACH, VA 23456-5861
(757) 971-0323
Mailing address
1792 MOONSTONE DR, VIRGINIA BEACH, VA 23456-5861
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0117007087
VA
Other
Enumeration date
01/07/2022
Last updated
01/08/2022
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