Individual
MRS. MARTY O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
404 COCONUT LN, VIRGINIA BEACH, VA 23452-4432
(757) 646-1803
Mailing address
404 COCONUT LN, VIRGINIA BEACH, VA 23452-4432
(757) 646-1803
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401153404
VA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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