Individual
PAMELA FLOYD RUESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 QUEEN ST, PORTSMOUTH, VA 23707-3238
(757) 399-7300
Mailing address
3500 QUEEN ST, PORTSMOUTH, VA 23707-3238
(757) 399-7300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04771
MEDICARE GROUP
VA
Enumeration date
07/04/2006
Last updated
07/08/2007
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