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Individual

MR. JOSEPH SORIANO ESTRADA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C

Contact information

Practice address
576 JEFFERSON AVE, US ARMY MEDICAL DEPARTMENT ACTIVITY, FORT EUSTIS, VA 23604-1602
(757) 314-7887
Mailing address
109 VIEW HALLO WAY, YORKTOWN, VA 23693-3365
(757) 867-5035

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1041741

Other

Enumeration date
10/27/2005
Last updated
07/08/2007
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