IndividualActive
Agustin Delarosa
NPI 1639106586 · Independent Duty Corpsman · Portsmouth, VA
Provider details
- NPI number
- 1639106586
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-1411
Approximate (ZIP-level) locationGet directions
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2008-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.