Individual
TONYA SPRALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 HANCOCK AVE, PORTSMOUTH, VA 23701-3344
(757) 215-8797
Mailing address
703 HANCOCK AVE, PORTSMOUTH, VA 23701-3344
(757) 215-8797
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T60649397
VA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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