Individual
WANDA MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 MDG JBLE, 77 NEALY AVE, HAMPTON, VA 23665
(804) 415-8316
Mailing address
420 LANE CRES, SMITHFIELD, VA 23430-1654
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
0001115607
VA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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