Individual provider · Type 1 NPI

Clinnt Luna Favo, DO

Student in an Organized Health Care Education/Training Program · Newport News, VA

NPI number 1902656838 Active

Practice location

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

Fax (757) 594-3184

Mailing address

20000 N 57th Ave Rm D102
Glendale, AZ 85308-6837

Other practice locations

  • 145 Sunset Ct Ste 100, West Columbia, SC 29169-2464 · (803) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1902656838

Clinnt Luna Favo, DO's National Provider Identifier is 1902656838, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newport News, VA. The record was last updated on Mar 24, 2026.