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Individual

NICOLE HALIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 BAKER RD STE 103, VIRGINIA BEACH, VA 23462-1077
(757) 609-8031
Mailing address
715 KENNESAW CT, VIRGINIA BEACH, VA 23464-2356
(757) 609-8031

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
0001264123
VA

Other

Enumeration date
05/04/2020
Last updated
05/04/2020
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