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