Doctor Name: | MRS. OPHELIAMOR GUZMAN SUMBILLO |
NPI Number: | 1780802090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARM D |
License Number: | 0203010364 |
Business Practice Address: | 3364 Princess Anne Rd Ste 501 Virginia Beach, VA - 234562610 |
Business Phone Number: | 7574685879 |
Business Fax Number: | 7573684096 |
Mailing Address: | 1321 Graylyn Ct, VIRGINIA BEACH |
State: | VA |
Postal Code: | 234648683 |
Phone Number: | 7572702175 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 09/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0203010364 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |