Individual
CHRISTY VANCLIEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W HYGEIA AVE, HAMPTON, VA 23663-1546
(757) 593-8828
Mailing address
16 W HYGEIA AVE, HAMPTON, VA 23663-1546
(757) 593-8828
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171W00000X
CONTRACTOR
VA
Enumeration date
07/19/2011
Last updated
07/19/2011
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