Individual
JOSE MANGUAL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2913 WINGFIELD AVE # 2, CHESAPEAKE, VA 23324-4095
(757) 969-8111
(757) 499-8499
Mailing address
2913 WINGFIELD AVE # 2, CHESAPEAKE, VA 23324-4095
(757) 969-8111
(757) 499-8499
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T62641846
VA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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