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Individual

ZAKIA COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1412 WOODSIDE CT, HENRICO, VA 23231-5673
(804) 874-3623
Mailing address
1412 WOODSIDE CT, HENRICO, VA 23231-5673
(804) 874-3623

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81-5169348
VA
Enumeration date
01/31/2017
Last updated
01/31/2017
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