Individual
MR. CHRISTOPHER ANTHONY TRIVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2005 KNIGHT LANE, BLDG.H NAVY MEDICINE SUPPORT COMMAND, ATTN: MSSD, JACKSONVILLE, FL 32212-0140
(757) 472-8071
Mailing address
988 ARMFIELD CIR APT 101, NORFOLK, VA 23505-3217
(757) 472-8071
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/05/2009
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