Individual
TAMARA NICHOLS-BARBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S INDEPENDENCE BLVD STE 250, VIRGINIA BEACH, VA 23452-1152
(757) 613-8738
Mailing address
520 S INDEPENDENCE BLVD STE 250, VIRGINIA BEACH, VA 23452-1152
(757) 613-8738
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-3805531
—
VA
Enumeration date
08/22/2022
Last updated
09/30/2022
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