Individual
SOPHRONIA ISABELLA KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 BANFF CT, CHESAPEAKE, VA 23320-3889
(757) 918-4024
Mailing address
1656 BANFF CY, CHESAPEAKE, VA 23320
(757) 918-4024
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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