Individual
MR. ANTONIO CHRISTOPHER BOYD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUBMARINE IDC
Contact information
Practice address
9168 2ND ST STE 200, NORFOLK, VA 23511-2328
(562) 308-8569
Mailing address
1811 TEALWOOD LN, CHESAPEAKE, VA 23320-0638
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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