DEREK LAMONT COUSINS

NORFOLK, VA
NPI1306617154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110010167)
Enumeration Date2024-01-10
Last Update Date2024-07-24
Business Address
Mr. DEREK LAMONT COUSINS PA-C
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone number: 757-466-0089
Mailing Address
Mr. DEREK LAMONT COUSINS PA-C
6275 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502-2851
Phone number: 757-466-0089
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