Individual
MS. FREDERICA PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4793 SHALLOWFORD CIR, VIRGINIA BEACH, VA 23462-7924
(757) 735-0976
Mailing address
4793 SHALLOWFORD CIR, VIRGINIA BEACH, VA 23462-7924
(757) 735-0976
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
147587-0000-7200
VA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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