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Individual

MRS. MARIANNE KELLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1877 AMES CIR W, CHESAPEAKE, VA 23321-3542
(757) 681-3328
Mailing address
1877 AMES CIR W, CHESAPEAKE, VA 23321-3542
(757) 681-3328

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
11/10/2019
Last updated
11/10/2019
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