DANIEL WAYNE VANSKYHAWK

PORTSMOUTH, VA
NPI1255548491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider Independent Duty Medical Technicians
(Licence: VA  17101003X)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
DANIEL WAYNE VANSKYHAWK IDC
414 CONCORD RD
PORTSMOUTH, VA 23701-2231
Phone number: 757-537-3813
Mailing Address
DANIEL WAYNE VANSKYHAWK IDC
414 CONCORD RD
PORTSMOUTH, VA 23701-2231
Phone number: 757-537-3813
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