Individual
TERRELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1136 23RD ST, NEWPORT NEWS, VA 23607-4706
(757) 907-3406
Mailing address
1136 23RD ST, NEWPORT NEWS, VA 23607-4706
(757) 907-3406
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
1401184167
VA
Other
Enumeration date
09/21/2024
Last updated
09/27/2024
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