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Individual

RITA BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,CCC-SLP

Contact information

Practice address
4508 HARSHAW CT, VIRGINIA BEACH, VA 23456-4849
(757) 646-0876
Mailing address
4508 HARSHAW CT, VIRGINIA BEACH, VA 23456-4849
(757) 646-0876

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000494
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2203000494
VA DEPT OF HEALTH PROFESSIONS
VA
Enumeration date
06/24/2018
Last updated
06/24/2018
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