Individual
MRS. VIVIAN GALLOWAY HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
195 HUNTINGTON RD, RIDGEWAY, VA 24148-3028
(276) 224-9899
(276) 292-2021
Mailing address
195 HUNTINGTON RD, RIDGEWAY, VA 24148-3028
(276) 224-9899
(276) 292-2021
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
46-4189018
VA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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