Individual
MS. VONDA S GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5366 PALMYRA CT, VA BEACH, VA 23462-3543
(757) 803-2994
Mailing address
5366 PALMYRA CT, VA BEACH, VA 23462-3543
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
0230003013
VA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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