Individual
DR. CLINNT LUNA FAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 612-7277
(757) 594-3184
Mailing address
20000 N 57TH AVE RM D102, GLENDALE, AZ 85308-6837
(619) 823-0338
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/24/2026
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