Individual
JOSEPHAT MBOYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2902 GODWIN BLVD, SUFFOLK, VA 23434-8040
(757) 539-0734
Mailing address
2902 GODWIN BLVD, SUFFOLK, VA 23434-8040
(757) 539-0734
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202208664
VA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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