Omar Edmond
NPI 1780105809 · on the registry since 2017 · sole proprietor
Practice
- Address
- 118 Fayette St
Suffolk, VA 23434 - Phone
- (757) 477-4847
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia