Organization
MEDFREBS, INC
Active
Other names
MEDFRES, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESMERALDA ESQUIVEL SORIANO (PRESIDENT/EXECUTIVE DIRECTOR)
(757) 488-8888
Entity
Organization
Contact information
Practice address
4725 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2307
(757) 488-8888
(757) 488-0860
Mailing address
4725 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2307
(757) 488-8888
(757) 488-0860
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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