Individual
TONYA GABRIEL TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2201 WILLIAM ST APT 1, PETERSBURG, VA 23803-2324
(804) 892-5828
Mailing address
2201 WILLIAM ST APT 1, PETERSBURG, VA 23803-2324
(804) 988-4873
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401022790
VA
Other
Enumeration date
08/24/2024
Last updated
01/25/2025
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