Individual
DONNA LENORA GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3603 MAIN ST, SOUTH CHESTERFIELD, VA 23803-2443
(804) 922-0089
Mailing address
3603 MAIN ST, SOUTH CHESTERFIELD, VA 23803-2443
(804) 922-0089
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002072058
VA
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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