Individual
AMY KATHLEENN GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 PENDLETON RD, PORTSMOUTH, VA 23703
(757) 483-0573
Mailing address
4113 PENDLETON RD, PORTSMOUTH, VA 23703-4928
(757) 483-0573
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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