Individual
DONNA MARIE GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4032 IRONBOUND RD, WILLIAMSBURG, VA 23188-2508
(757) 229-5001
Mailing address
392 JURY LN UNIT C, NEWPORT NEWS, VA 23608-2926
(757) 831-9864
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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