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ANGELICA PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9524 HOSPITAL AVENUE, NASSAWADOX, VA 23413
(757) 442-6600
(757) 442-3839
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203270
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497983886
VA
Enumeration date
06/24/2009
Last updated
09/12/2013
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