Individual
AISHA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S PROVIDENCE RD STE 103, NORTH CHESTERFIELD, VA 23236-3300
(804) 712-8034
Mailing address
112 S PROVIDENCE RD STE 103, NORTH CHESTERFIELD, VA 23236-3300
(804) 712-8034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002094737
VA
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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