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Individual

MS. VONDELE PARHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
320 E BROADWAY AVE # 205, HOPEWELL, VA 23860-2812
(804) 621-5844
Mailing address
320 E BROADWAY AVE # 205, HOPEWELL, VA 23860-2812
(804) 621-5844

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002089676
VA

Other

Enumeration date
08/20/2019
Last updated
08/20/2019
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