Individual
SHARITA KEIYATTA TRIMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12715 WARWICK BLVD, STE O, NEWPORT NEWS, VA 23606-1800
(757) 930-0091
(757) 269-4406
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243790
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912100199
—
VA
Enumeration date
06/06/2007
Last updated
12/18/2008
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