Individual
JUAN MARTIN OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2520 MIDWAY RD, VIRGINIA BEACH, VA 23459-9302
(757) 462-8454
Mailing address
2520 MIDWAY RD, VIRGINIA BEACH, VA 23459-9302
(757) 462-8454
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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