Individual
BETTY J CARREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
576 JEFFERSON AVE., FT. EUSTIS, VA 23604-5548
(757) 878-4755
(757) 878-4533
Mailing address
7 WOODHAVEN RD, NEWPORT NEWS, VA 23608-1509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002062998
VA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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