Individual
MR. RICARDO MIGUEL TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1001 HOLCOMB RD, PORTSMOUTH, VA 23708-2415
(757) 953-5047
Mailing address
1034 ANN ST, PORTSMOUTH, VA 23704-2204
(757) 295-0725
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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