COASTAL LONGEVITY LLC

VIRGINIA BEACH, VA
NPI1912576893
Entity TypeOrganization
Authorized ContactMICHAEL LUCAS GAMBILL
CEO
804-840-8522
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center, Health Services
Enumeration Date2021-06-23
Last Update Date2021-06-23
Business Address
COASTAL LONGEVITY LLC
3128 KLINE DR
VIRGINIA BEACH, VA 23452-6226
Phone number: 804-840-8522
Mailing Address
COASTAL LONGEVITY LLC
3128 KLINE DR
VIRGINIA BEACH, VA 23452-6226
Phone number: 804-840-8522
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