Individual
JACQUELINE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 LEE ST, HAMPTON, VA 23669-3923
(757) 263-0922
Mailing address
508 LEE ST, HAMPTON, VA 23669-3923
(757) 263-0922
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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