Individual
TAMEKA BLOUNT-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MORTON AVE, PETERSBURG, VA 23805-2749
(757) 705-2598
(804) 451-9778
Mailing address
101 MORTON AVE, PETERSBURG, VA 23805-2749
(757) 705-2598
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-191742
VA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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