Individual
MRS. JOVANKA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
USA MEDDAC KAHC, 700 24TH STREET BLDG. 8151, FT LEE, VA 23801-1716
(804) 734-9081
Mailing address
229 CASSINO RD, FORT LEE, VA 23801-1317
(804) 734-9081
(804) 734-9053
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
129497
TX
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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