Individual
KENNETH JAMES TALLADA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
100 EMANCIPATION DR PROSTHETICS DEPT, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR PROSTHETICS DEPT, HAMPTON, VA 23667-0001
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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