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Individual

MICA MORRIS FERLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9690
(824) 828-5566
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024168796
VA

Other

Enumeration date
06/29/2010
Last updated
06/29/2010
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