Individual
EUNICE WIAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
Mailing address
7125 LEIRE LN, CHESTERFIELD, VA 23832-7792
(804) 503-4074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190468
VA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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