NPI 1801549811

Juan Sebastian Vallejo

Practitioner Independent Duty Medical Technicians Fort Eustis, VA

Practice location

Address: 577 Sternberg Ave, Fort Eustis, VA 23604-5311
Phone: (757) 314-7924

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1801549811
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2022
Record last updated: 31 Jan 2022

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.