Individual
LAURA DIANE MUCHMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11 ROME DOME CT, STAFFORD, VA 22556-6666
(813) 390-5915
(540) 737-5698
Mailing address
11 ROME DOME CT, STAFFORD, VA 22556-6666
(813) 390-5915
(540) 737-5698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001230560
VA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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