Individual
MARY W BALDECCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 E LEIGH ST FL 12, RICHMOND, VA 23298-5004
(804) 828-4396
(804) 828-0463
Mailing address
3915 STRATFORD RD, RICHMOND, VA 23225-1161
(804) 502-3895
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024182503
VA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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