Individual
DR. ANGEL DOMINIQUE GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
308 GEORGE WASHINGTON HWY N STE 2, CHESAPEAKE, VA 23323-1852
(757) 773-6130
Mailing address
2872 E POINT DR, CHESAPEAKE, VA 23321-4125
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024188654
VA
Other
Enumeration date
02/09/2009
Last updated
01/22/2025
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