Individual
JALIK R BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
2400 OLD BRICK RD STE 62, GLEN ALLEN, VA 23060-5841
(804) 223-6035
Mailing address
11331 PARRISH CREEK LN, MIDLOTHIAN, VA 23112-3183
(804) 662-0940
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401167246
VA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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