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Individual

MRS. COLETTE VERMAAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1309 FORDHAM DR, VIRGINIA BEACH, VA 23464-5346
(757) 424-0189
(757) 424-1391
Mailing address
2449 BULLOCK TRL, VIRGINIA BEACH, VA 23454-5220
(757) 463-5009

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207699
VA

Other

Enumeration date
06/01/2010
Last updated
06/01/2010
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