Individual
ANDREA BOCKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(419) 410-6132
Mailing address
1901 VINCE RD, VIRGINIA BEACH, VA 23464-8228
(419) 410-6132
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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