Individual
JOSEPH CLINTON FRANCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 COVE RD, VIRGINIA BEACH, VA 23459-8911
(757) 763-2060
Mailing address
1875 COVE RD, VIRGINIA BEACH, VA 23459-8911
(763) 763-2060
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
1710I1003X
Independent Duty Medical Technicians
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NON
TRI CARE DOD
VA
Enumeration date
02/23/2018
Last updated
06/16/2018
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