Individual
MARTHA EANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA-C
Contact information
Practice address
13710 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3267
(804) 594-3050
Mailing address
9501 BEACH RD, CHESTERFIELD, VA 23838-5220
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000139
VA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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