Individual
TONIA MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WINDSOR CT, SUFFOLK, VA 23434-9288
(757) 618-0887
Mailing address
107 WINDSOR CT, SUFFOLK, VA 23434-9288
(757) 618-0887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T62617733
—
VA
Enumeration date
05/12/2016
Last updated
05/12/2016
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