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Individual

ELIZABETH ANN PLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3143 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3077
(757) 439-7830
Mailing address
3143 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3077
(757) 385-8222

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002050758
VA

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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