Individual
MRS. JULIE KAY BANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3782 PRESIDENTS RD, SCOTTSVILLE, VA 24590-4203
(434) 296-1325
Mailing address
3782 PRESIDENTS RD, SCOTTSVILLE, VA 24590-4203
(434) 296-1325
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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