Individual
DENNIS HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
576 JEFFERSON AVE, FT EUSTIS, VA 23604-5548
(757) 314-7666
Mailing address
327 26TH ST APT H, FORT EUSTIS, VA 23604-1140
(757) 314-7666
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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