Individual
CHANETTA MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS CERTIFIED
Contact information
Practice address
5849 COURTHOUSE RD, PRINCE GEORGE, VA 23875-2516
(804) 731-8005
Mailing address
5849 COURTHOUSE RD, PRINCE GEORGE, VA 23875-2516
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
VA
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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