Individual
CHARLISA RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805-7333
(804) 431-5585
Mailing address
1943 WALKER AVE, PETERSBURG, VA 23803-4750
(804) 726-0112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002088624
VA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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