Individual
MRS. MICHELLE FEZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
720 QUEEN ELIZABETH DR, VIRGINIA BCH, VA 23452-3814
(757) 343-9129
Mailing address
720 QUEEN ELIZABETH DR, VIRGINIA BEACH, VA 23452-3814
(757) 343-9129
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002083719
VA
Other
Enumeration date
08/22/2011
Last updated
10/23/2023
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