Individual
SIRRON MARION WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
1128 BATTLEFIELD BLVD N STE 103, CHESAPEAKE, VA 23320-4791
(757) 549-1088
Mailing address
4136 BISHOPS PL, PORTSMOUTH, VA 23703-5501
(757) 484-6389
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1201103199
VA
Other
Enumeration date
03/20/2007
Last updated
02/05/2015
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