East End Academy, Inc

NPI 1356448930 - Clinic/Center - 261QM0801X

NPI Details
NPI 1356448930
Enumeration Date 09/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACQUELINE CARLETHIA JACQUELINE
Position ACCOUNTS RECEIVABLE MANAGER
Phone (757) 247-0039
Fax (757) 247-0158
Practice Location
2000 27TH ST
NEWPORT NEWS VA, 23607-4912, US
Phone (757) 247-0039
Fax (757) 247-0158
Business Location
2000 27TH ST
NEWPORT NEWS VA, 23607-4912, US
Phone (757) 247-0039
Fax (757) 247-0158
Toxanomy
Taxonomy Code 261QM0801X
License State Virginia
License Number 320
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According to our database, East End Academy, Inc NPI is 1356448930, taxonomy code is 261QM0801X and license number is 320, license state is located at Virginia. East End Academy, Inc physically located at 2000 27th St, Newport News VA, 23607-4912. NPI Number 1033115704 has the healthcare provider type.

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1356448930 NPI number is provided on an as is basis without warranty of any kind. 1356448930 is maintained by the National Plan & Provider Enumeration System. The contents of East End Academy, Inc are for informational purposes only.