Individual
LORETTA JOANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
611 E CAWSON ST # A, HOPEWELL, VA 23860-3015
(804) 295-7064
Mailing address
611 E CAWSON ST # A, HOPEWELL, VA 23860-3015
(804) 295-7064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002066574
VA
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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