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Individual

KEWARIN PINSRI NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 ELM TREE CT, SUFFOLK, VA 23435-2278
(757) 774-7301
Mailing address
4857 BENNETTS PASTURE RD STE 5359, SUFFOLK, VA 23435-1403
(757) 774-7301

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
311ZA0620X
Adult Care Home Facility
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
11/13/2023
Last updated
12/31/2024
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