Individual
ANGELA K HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
47 KLICH DR, HAMPTON, VA 23666-1322
(757) 768-6541
Mailing address
47 KLICH DR, HAMPTON, VA 23666-1322
(757) 768-6541
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401094060
VA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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