Individual
KATELYN ROSE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
(757) 953-9003
Mailing address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102206346
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
08/14/2023
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