Edita Untalan

NPI #1083256077 in Va Beach, Virginia

Provider Information

NPI Number
1083256077
Entity Type
Individual
Name
Edita Untalan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Oct 11, 2019
Last Updated
Oct 11, 2019

Practice Location

Address
4713 BOXFORD RD
ZIP Code
23456-5009
Phone
(757) 376-1755

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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