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Individual

MS. SURENA GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
410 HUSTINGS LN, UNIT E, NEWPORT NEWS, VA 23608-2807
(757) 419-3941
(757) 325-8283
Mailing address
410 HUSTINGS LN, UNIT E, NEWPORT NEWS, VA 23608-2807
(757) 419-3941
(757) 325-8283

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
07/15/2016
Last updated
07/15/2016
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