Athena Ink
Specialist/Technologist, Other in Virginia Beach, VA. Organization (NPI-2).
NPI number1871367896
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1871367896
- Entity type
- Organization (NPI-2)
- Legal business name
- Athena Ink
- Organization subpart
- No
- Enumeration date
- Nov 9, 2023
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
Practice location
522 S Independence Blvd Ste 105Virginia Beach, VA 23452-1149
Phone 757-754-7085
Mailing address
522 S Independence Blvd Ste 105Virginia Beach, VA 23452-1149
Authorized official
Cynthia Schott
Owner
7577547085
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