Individual
DEBORAH SAMANTHA MINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 PINEHURST RD, HENRICO, VA 23228-5035
(804) 986-6058
Mailing address
2921 PINEHURST RD, HENRICO, VA 23228-5035
(804) 986-6058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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