Individual
DR. DEANNA LYNNE TRAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3096 NATHANIELS GRN, WILLIAMSBURG, VA 23185-7505
(757) 879-4725
(757) 258-3271
Mailing address
3096 NATHANIELS GREEN, WILLIAMSBURG, VA 23185-7505
(757) 879-4725
(757) 258-3271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038980
VA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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