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Organization

ENCHANTED HILLS HEALTH AND WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MCKISSACK (OWNER)
(757) 405-6060
Entity
Organization

Contact information

Practice address
1356 25TH ST, NEWPORT NEWS, VA 23607-4826
(757) 405-6060
Mailing address
367 MANNING LN, HAMPTON, VA 23666-5024

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
04/24/2024
Last updated
04/24/2024
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