Individual
MIGUEL A DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
186 LEE JACKSON CT APT 7, BROADWAY, VA 22815-9465
(540) 335-9491
Mailing address
186 LEE JACKSON CT APT 7, BROADWAY, VA 22815-9465
(540) 335-9491
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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