Individual
ANITA SHANELL HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5652 NATHANIEL ST, SUFFOLK, VA 23435-2534
(757) 537-3580
(757) 539-6088
Mailing address
5652 NATHANIEL ST, SUFFOLK, VA 23435-2534
(757) 537-8275
(757) 539-6088
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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