Individual
MRS. BEULAH MONIQUE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7530 TIDEWATER DR, NORFOLK, VA 23505-3717
(757) 480-3051
(757) 480-3068
Mailing address
7530 TIDEWATER DR, NORFOLK, VA 23505-3717
(757) 480-3051
(757) 480-3068
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230003742
VA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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