Individual
WYKETA DENISE PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 RUDDY OAK CT, VIRGINIA BEACH, VA 23453-2830
(757) 773-2515
Mailing address
1304 RUDDY OAK CT, VIRGINIA BEACH, VA 23453-2830
(757) 773-2515
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
12484-03-011
VA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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