Individual
HEATHER BERLIN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 GRAYSON RD STE 100, VIRGINIA BEACH, VA 23462-4345
(757) 497-3670
Mailing address
881 WINWOOD DR, VIRGINIA BEACH, VA 23451-5955
(757) 754-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006779
VA
Other
Enumeration date
03/28/2019
Last updated
10/15/2020
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