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Individual

MAKESHA NDIAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
3000 SOUTH ST, SOUTH CHESTERFIELD, VA 23834-5230
(804) 605-7573
Mailing address
3000 SOUTH ST, SOUTH CHESTERFIELD, VA 23834-5230
(804) 605-7573

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002082768
VA

Other

Enumeration date
07/06/2018
Last updated
07/06/2018
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