Individual
BLANCA L AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JHN PAUL JNS CIR, PORTSMOUTH, VA 23708-2197
(757) 953-3521
Mailing address
620 JHN PAUL JNS CIR, PORTSMOUTH, VA 23708-2197
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
0001221149
VA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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