Individual
MRS. LISA SA'RENA FRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S SYCAMORE ST STE 3, PETERSBURG, VA 23803-5044
(804) 894-8829
(804) 535-5955
Mailing address
510 S SYCAMORE ST STE 3, PETERSBURG, VA 23803-5044
(804) 894-8829
(804) 535-5955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7542
VA
Other
Enumeration date
08/24/2023
Last updated
09/11/2023
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