Individual
MS. MARY GERALDINE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1555 MEADOWVIEW DR STE 5, DANVILLE, VA 24541-7352
(434) 685-1570
(434) 685-1477
Mailing address
1555 MEADOWVIEW DR STE 5, DANVILLE, VA 24541-7352
(434) 685-1570
(434) 685-1477
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002024332
VA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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