Individual
BANDETRA OGLESBY-CONFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CONTINENTAL PKWY APT 302, NEWPORT NEWS, VA 23602-4542
(757) 660-4259
Mailing address
300 CONTINENTAL PKWY APT 302, NEWPORT NEWS, VA 23602-4542
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002097426
VA
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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