Individual
MRS. KEZIAH VANDALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED CF-SLP
Contact information
Practice address
3600 SAUNDERS AVE, RICHMOND, VA 23227-4328
(804) 358-1874
Mailing address
2516 IRISDALE AVE, HENRICO, VA 23228-5550
(607) 644-8918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001162
VA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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