Individual
DR. RAINA WINFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505-4614
(757) 889-5735
(757) 889-5742
Mailing address
110 KINGSLEY LANE,, STE 106 LONGTERM CARE OF VIRGINIA, NORFOLK, VA 23505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101231195
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101231195
VA STATE LICENSE
VA
Enumeration date
06/02/2006
Last updated
06/14/2011
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