Individual
SENA AMEGBLETOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3014 DUNKIRK AVE, NORFOLK, VA 23509-1816
(203) 676-0079
Mailing address
3014 DUNKIRK AVE, NORFOLK, VA 23509-1816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001314472
VA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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