Individual
MRS. VIRGINIA NICOLE STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
Mailing address
624 BLOSSOM ARCH, CHESAPEAKE, VA 23320-6688
(540) 935-9024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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