Individual
REVIE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E CITY HALL AVE STE 329, NORFOLK, VA 23510-1713
(757) 409-0236
Mailing address
6800 PUGH ST, NORFOLK, VA 23513-3032
(347) 922-0744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
05/03/2025
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