Individual
MR. DERMITRA A WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 BAYBERRY DR, NEWPORT NEWS, VA 23601-1007
(757) 270-6083
Mailing address
103 BAYBERRY DR, NEWPORT NEWS, VA 23601-1007
(757) 270-6083
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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