Individual
TRACEY DIANE SADDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 WINSTON AVE, NEWPORT NEWS, VA 23601-2122
(757) 595-4226
Mailing address
19 WINSTON AVE, NEWPORT NEWS, VA 23601-2122
(757) 595-4226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002066434
VA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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