Individual
THOMAS EDWARD PLANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2060 GATOR BLVD, VIRGINIA BEACH, VA 23459-8916
(801) 608-8691
Mailing address
10135 HOOPER ST, SAN DIEGO, CA 92124-3511
(801) 608-8691
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
04/29/2023
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