Individual
MRS. JACKITA RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 KEMPSVILLE RD STE 107, VIRGINIA BEACH, VA 23464-6953
(757) 689-1183
(757) 689-6814
Mailing address
417 CLARA DR, CHESAPEAKE, VA 23320-7031
(757) 805-1827
(757) 689-6814
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
4450
VA
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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