Individual
VIVIAN U MAPANAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5622 BENNETTS PASTURE RD, SUFFOLK, VA 23435-1602
(757) 484-3472
(757) 484-3408
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243540
VA
Other
Enumeration date
07/23/2008
Last updated
03/18/2010
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