Individual
YOLANDA FAYE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(757) 761-4030
Mailing address
420 TETON CIR, SUFFOLK, VA 23435-3388
(757) 761-4030
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001255746
VA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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