Individual
KANDANCE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2045 HAMILTON BLVD, SOUTH BOSTON, VA 24592-2141
(434) 572-6565
Mailing address
1048 SNOW HILL RD, ALTON, VA 24520-3148
(434) 579-1713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190235
VA
Other
Enumeration date
01/20/2025
Last updated
01/27/2025
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