Individual
MISS GENEE ROCHELLE MARION LASSALLE-LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-4409
(804) 806-7588
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024186584
VA
367A00000X
Advanced Practice Midwife
RN1019961
DC
Other
Enumeration date
08/05/2016
Last updated
08/28/2023
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