Individual
DR. DAFFERLIN JUANITA BARNARD-DUPREE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26317 WEST WASHINGTON STREET, CENTRAL STATE HOSPITAL, PETERSBURG, VA 23803
(804) 524-4674
(804) 524-7860
Mailing address
PO BOX 1744, MIDLOTHIAN, VA 23113-1744
(804) 739-7216
(804) 739-3103
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
0101056920
VA
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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