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Individual

MISS DENISE ANDERSON ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1227 SUMMIT AVE, PORTSMOUTH, VA 23704
(757) 715-0204
(757) 673-7962
Mailing address
1227 SUMMIT AVE, PORTSMOUTH, VA 23704
(757) 715-0204
(757) 673-7962

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1401091977
VA

Other

Enumeration date
10/19/2010
Last updated
10/19/2010
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