Individual
PHYLLIS SPRUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 CARRINGTON CRES S, PORTSMOUTH, VA 23701-3816
(757) 485-1555
Mailing address
1214 CARRINGTON CRES S, PORTSMOUTH, VA 23701-3816
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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