Individual
MR. REGINALD MORRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1575 GATOR BLVD STE 150, VIRGINIA BEACH, VA 23459-8744
(757) 462-4316
Mailing address
1575 GATOR BLVD STE 150, VIRGINIA BEACH, VA 23459-8744
(757) 462-4316
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
08/08/2014
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