Individual
JOANN BADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17140 SHANDS RD, S PRINCE GEO, VA 23805-8537
(571) 606-8037
Mailing address
1846 S SYCAMORE ST, PETERSBURG, VA 23805-2733
(571) 379-2699
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
768
VA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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