Individual
BERYL ROBERTS PLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3106 HIGH ST, PORTSMOUTH, VA 23707-3427
(757) 560-7149
Mailing address
1126 HORNE AVE, PORTSMOUTH, VA 23701-3733
(757) 560-7149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4254
VA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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