Organization
AGELESS SKIN REJUVENATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ANNE KING NP (OWNER)
(757) 707-1231
Entity
Organization
Contact information
Practice address
3352 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-2608
(757) 707-1231
Mailing address
3352 PRINCESS ANNE RD STE 909, VIRGINIA BEACH, VA 23456-2608
(757) 707-1231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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