TIDEWATER ALLERGY AND ASTHMA LLC

VIRGINIA BEACH, VA
NPI1629889308
Entity TypeOrganization
Authorized ContactJEREMY RAY OWENS
Owner
757-572-6052
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
Enumeration Date2025-01-14
Last Update Date2025-04-03
Business Address
TIDEWATER ALLERGY AND ASTHMA LLC
4534 BONNEY RD STE B
VIRGINIA BEACH, VA 23462-3873
Phone number: 757-499-4101
Mailing Address
TIDEWATER ALLERGY AND ASTHMA LLC
1828 DUKE OF NORFOLK QUAY
VIRGINIA BEACH, VA 23454-1106
Phone number:
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