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MRS. CHARLOTTE CHOVAN EISAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
20 W BANK STREET SUITE 6, DISTRICT 19 COMMUNITY SERVICE BOARD, PETERSBURG, VA 23803-3279
(804) 862-8002
Mailing address
20 W BANK STREET SUITE 6, DISTRICT 19 COMMUNITY SERVICE BOARD, PETERSBURG, VA 23803-3279
(804) 862-8002

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001122835
VA

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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