Individual
MR. DOMINGO FAUSTINO MEJIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FT. EUSTIS, VA 23604-5548
(757) 314-7637
Mailing address
1522 KISKIAK CIR, YORKTOWN, VA 23691-5114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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