Sarah Mary Dibacco - Portsmouth, VA

Sarah Mary Dibacco

Military Health Care Provider in Portsmouth, Virginia

NPI 1982299434

Sarah Mary Dibacco is a Military Health Care Provider based in Portsmouth, VA. Sarah Mary Dibacco practices in Portsmouth, VA. The NPI Number for Sarah Mary Dibacco is 1982299434 and holds a License No. (Virginia).

The current practice location address for Sarah Mary Dibacco is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5000.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

NPI Number

1982299434

Provider Name

Sarah Mary Dibacco

Credential

Provider Entity Type

Individual

Gender

Female

Address

620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

Phone Number

757-953-5000

Fax Number

Provider Enumeration Date

03/06/2021

Last Update Date

03/10/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

0102207481 (Virginia)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

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.

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