Individual
FLORENCE RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 LONDON BLVD, PORTSMOUTH, VA 23704-2137
(757) 393-7200
Mailing address
1634 LONDON BLVD, PORTSMOUTH, VA 23704-2137
(757) 393-7200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-33382
VA
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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