NPI 1003663014

Ricky Lee Milbourne, CSALSA

Practitioner Surgical Assistant Chesapeake, VA

Practice location

Address: 844 Battlefield Blvd N, Chesapeake, VA 23320-4802
Phone: (757) 312-6800
Mailing address: 5103 Tanglewood CT, Suffolk, VA 23435-2637

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 0136000535 (VA)

Other Specialist/Technologist, Other providers in Virginia →

Registry record

NPI: 1003663014
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 May 2024
Record last updated: 6 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.