Individual
MRS. AMANDA COBB HEDGEPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
31 RIDGE RD, POQUOSON, VA 23662-1825
(757) 755-5863
Mailing address
31 RIDGE RD, POQUOSON, VA 23662-1825
(757) 755-5863
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002078820
VA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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