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Individual

MISS ROSA MAE GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
454 MANSION WAY, AMHERST, VA 24521
(434) 846-0917
Mailing address
454 MANSION WAY, AMHERST, VA 24521
(434) 846-0917

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002052173
VA
372600000X
Adult Companion
1046792OASA
VA

Other

Enumeration date
02/21/2008
Last updated
02/21/2008
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