Individual
MRS. JENNIFER LYNN SEGARRA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
USS NORMANDY (CG 60), FPO AP, VA 92108-1190
(757) 444-2290
Mailing address
4040 SHERMAN OAKS AVE, VIRGINIA BEACH, VA 23456-5726
(757) 444-2290
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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