Individual
DEANDA LACREE MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 673-5241
Mailing address
672 FLYNN LN, PETERSBURG, VA 23805-9355
(240) 604-7159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002060407
VA
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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