Organization
VICTORIOUS WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MAMINA KELLY-COLEMAN FNP (OWNER)
(757) 324-5985
Entity
Organization
Contact information
Practice address
104 HUNTINGTON PL, DANVILLE, VA 24541-4512
(757) 729-7281
Mailing address
104 HUNTINGTON PL, DANVILLE, VA 24541-4512
(757) 729-7281
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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