Individual
EVANGELINE ELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37112 SEACOCK CHAPEL RD, ZUNI, VA 23898-3342
(757) 617-6852
Mailing address
37112 SEACOCK CHAPEL RD, ZUNI, VA 23898-3342
(757) 617-6852
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T61537425
VA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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