Individual
MS. ANITA DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
554 LOCH NESS DR APT E, NEWPORT NEWS, NEWPORT NEWS, VA 23602-4378
(757) 359-5421
Mailing address
554 LOCH NESS DR APT E, NEWPORT NEWS, NEWPORT NEWS, VA 23602-4378
(757) 359-5421
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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