Individual
VIRGINIA BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 OLD SPRUCE RD, UNION, WV 24983-6920
(304) 772-5041
Mailing address
1141 N INDIAN RIVER DR, COCOA, FL 32922-7533
(304) 956-0464
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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