Individual
ARIS GOINGCO QUIAMBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1624 CASTLEFIELD RD, VIRGINIA BEACH, VA 23456-5478
(757) 416-1106
Mailing address
1624 CASTLEFIELD RD, VIRGINIA BEACH, VA 23456-5478
(757) 416-1106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602908
VA
Other
Enumeration date
12/28/2010
Last updated
01/05/2011
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