Individual
KIMBERLY YVETTE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5228 PIRATA PL, VIRGINIA BEACH, VA 23462-1979
(757) 705-6687
Mailing address
5228 PIRATA PL, VIRGINIA BEACH, VA 23462-1979
(757) 705-6687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0734002385
VA
174H00000X
Health Educator
—
VA
246RP1900X
Phlebotomy Technician
Primary
2839578
VA
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114570991
—
VA
Enumeration date
07/19/2019
Last updated
11/15/2019
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