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Individual

MS. KECIA MONIQUE TERRELONGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
908 W WASHINGTON ST STE 200, SUFFOLK, VA 23434-6252
(804) 868-5518
Mailing address
1024 CENTERBROOKE LN STE F136, SUFFOLK, VA 23434-8291
(804) 868-5518

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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