Juan Martin Ochoa, IDC
Military Health Care Provider, Independent Duty Corpsman in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1891094017
StatusActive
Last updated in NPPESMar 28, 2011
Details
- NPI
- 1891094017
- Entity type
- Individual (NPI-1)
- Name
- Juan Martin Ochoa
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2011
- Last updated
- Mar 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
2520 Midway RdVirginia Beach, VA 23459-9302
Phone 757-462-8454
Mailing address
2520 Midway RdVirginia Beach, VA 23459-9302
Phone 757-462-8454
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