Individual
SUNNY ANNE PROFERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1925 GLENN MITCHELL DR, SUITE #206, VIRGINIA BEACH, VA 23456-0170
(757) 305-9185
Mailing address
1925 GLENN MITCHELL DR, SUITE #206, VIRGINIA BEACH, VA 23456-0170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003575
VA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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