Individual
MISS KRISTINA G GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
115 WILLARDS WAY, YORKTOWN, VA 23693-2544
(757) 927-0197
Mailing address
115 WILLARDS WAY, YORKTOWN, VA 23693-2544
(757) 927-0197
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002079541
VA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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