Individual
MUKISHA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 WELLFLEET CT, VIRGINIA BEACH, VA 23464-8661
(757) 338-2378
Mailing address
1310 WELLFLEET CT, VIRGINIA BEACH, VA 23464-8661
(757) 338-2378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001231729
VA
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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