Individual
MRS. STACY DURFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 S FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-4656
(757) 422-0409
(757) 422-2124
Mailing address
PO BOX 8786, VIRGINIA BEACH, VA 23450-8786
(757) 422-0409
(757) 422-2124
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465276261
FEIN
VA
Enumeration date
06/20/2014
Last updated
06/20/2014
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