Individual
JESSICA RULEAH HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 POLLUX CIR E, PORTSMOUTH, VA 23701-2027
(757) 774-1171
Mailing address
39 POLLUX CIR E, PORTSMOUTH, VA 23701-2027
(757) 774-1171
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HCO-23391
VA
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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