Individual
GWENDOLYN ROCHELLE SHARPESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5212 VINTNER DR # 305-4, NORTH CHESTERFIELD, VA 23234-6933
(804) 801-9365
Mailing address
5212 VINTNER DR # 305-4, NORTH CHESTERFIELD, VA 23234-6933
(804) 801-9365
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002076115
VA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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