Individual
MR. CEDRIC LAWRENCE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4865 BLACKWATER RD, VIRGINIA BEACH, VA 23457-1111
(757) 535-2548
Mailing address
4865 BLACKWATER RD, VIRGINIA BEACH, VA 23457-1111
(757) 535-2548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024181332
VA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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