Individual
MALORY EANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1100 BRIAR RIDGE RD, HENRY, VA 24102-3316
(540) 243-8900
Mailing address
1100 BRIAR RIDGE RD, HENRY, VA 24102-3316
(540) 243-8900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002085802
VA
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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