Individual
ALTA BILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
304 DAVIS ST, INDEPENDENCE, VA 24348
(276) 773-8145
(276) 773-3912
Mailing address
PO BOX 797, INDEPENDENCE, VA 24348-0797
(276) 773-8145
(276) 773-3912
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002056424
VA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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