Individual
JAEN DOMINGO NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
PO BOX 601783, CHARLOTTE, NC 28260-1783
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-840805
VA
Other
Enumeration date
07/17/2006
Last updated
05/30/2008
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