Juan Sebastian Vallejo

NPI #1801549811 in Fort Eustis, Virginia

Provider Information

NPI Number: 1801549811
Entity Type: Individual
Name: Juan Sebastian Vallejo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Enumeration Date: Jan 31, 2022
Last Updated: Jan 31, 2022

Practice Location

Address: 577 STERNBERG AVE
City: Fort Eustis
State: Virginia
ZIP Code: 23604-5311
Phone: (757) 314-7924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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