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Organization

VIRGINIA BREAST CARE, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JASMINE JOSETH DANIEL (CFO)
(434) 984-2909
Entity
Organization

Contact information

Practice address
595 MARTHA JEFFERSON DR, SUITE 320, CHARLOTTESVILLE, VA 22911-4669
(434) 984-6121
(434) 984-3011
Mailing address
595 MARTHA JEFFERSON DR, SUITE 320, CHARLOTTESVILLE, VA 22911-4669
(434) 984-6121
(434) 984-3011

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
01/19/2007
Last updated
08/09/2011
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