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Individual

JUNI A. FEMI-PEARSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5484 MEMORIAL DR, VIRGINIA BEACH, VA 23455-3782
(505) 702-5404
(757) 228-7323
Mailing address
5484 MEMORIAL DR, VIRGINIA BEACH, VA 23455-3792
(505) 702-5404
(757) 228-7323

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101221384
VA
208600000X
Surgery Physician
35066
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007310358
VA
05
64001043
KY
Enumeration date
09/13/2005
Last updated
01/28/2011
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