Individual
MR. PAUL R MANANSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 COVE RD, VIRGINIA BEACH, VA 23459-8923
(757) 763-2059
Mailing address
1875 COVE RD, VIRGINIA BEACH, VA 23459-8923
(757) 763-2059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0123456789
VA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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