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Individual

MRS. AMIEE NOVELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSA, CSFA

Contact information

Practice address
601 CHILDREN'S LN, NORFOLK, VA 23507
(757) 688-7000
Mailing address
1308 PRICE CT, CHESAPEAKE, VA 23320-8216
(757) 572-7970

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000447
VA

Other

Enumeration date
06/01/2021
Last updated
06/01/2021
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