Individual
MISS TRISHA DAWN SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1815 DOMINION AVE, NORFOLK, VA 23518-3132
(757) 615-3345
Mailing address
1815 DOMINION AVE, NORFOLK, VA 23518-3132
(757) 615-3345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001155278
VA
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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