Individual
ALEXANDER RICHARD MISIUNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2833 HERITAGE DR, SUFFOLK, VA 23435-1637
(757) 638-4909
Mailing address
2833 HERITAGE DR, SUFFOLK, VA 23435-1637
(757) 638-4909
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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