Individual
TAMARA DAWN RISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
2209 FIDDLERS GREEN CT, VIRGINIA BEACH, VA 23454-6114
(757) 748-9739
Mailing address
2209 FIDDLERS GREEN CT, VIRGINIA BEACH, VA 23454-6114
(757) 748-9739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001263172
VA
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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