OMAR ANTONIO PESCADOR

VIRGINIA BEACH, VA
NPI1720352958
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2012-03-06
Last Update Date2012-03-06
Business Address
OMAR ANTONIO PESCADOR IDC
SEAL TEAM 10 MEDICAL DEPARTMENT BLDG 3808
VIRGINIA BEACH, VA 23521
Phone number: 917-848-3454
Mailing Address
OMAR ANTONIO PESCADOR IDC
7568 ROARING SPRINGS RD
GLOUCESTER, VA 23061-4269
Phone number: 917-848-3454
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