Individual
MRS. YELENA Y BOGUSLAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2841 RIVER RD W, GOOCHLAND, VA 23063-3200
(804) 556-7500
Mailing address
702 W CLAY ST, RICHMOND, VA 23220-3114
(540) 371-0079
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024176950
VA
Other
Enumeration date
02/11/2019
Last updated
05/02/2021
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