Individual
ANGIE CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
633 MEDICAL GROUP, 77 NEALLY AVE, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 764-2109
Mailing address
633 MEDICAL GROUP, 77 NEALLY AVE, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 764-2109
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
01/11/2011
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