Organization
ELISHEBA OF MT ZION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QETURAH GUNN (OWNER/CEO)
(757) 325-7313
Entity
Organization
Contact information
Practice address
105 TURRET LN APT 3, HAMPTON, VA 23669-4377
(757) 325-7313
Mailing address
105 TURRET LN APT 3, HAMPTON, VA 23669-4377
(757) 325-7313
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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