Individual
LAURA LONDONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0116039225
VA
Other
Enumeration date
03/25/2024
Last updated
06/05/2024
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