Individual
CHANNEL LALIQUE VIALET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
3345 ARBORETUM TRL, CHESAPEAKE, VA 23321-4588
(757) 348-7791
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001232269
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0001232269
VA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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