Organization
PROMETHEAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMEANTHEA BLANCO-KNEZOVICH DNP, FNP-C (DIRECTOR)
(757) 470-3601
Entity
Organization
Contact information
Practice address
3920 VANDERHORST DR, VIRGINIA BEACH, VA 23462-7531
(757) 828-6612
Mailing address
3920 VANDERHORST DR, VIRGINIA BEACH, VA 23462-7531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/16/2017
Last updated
06/16/2017
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