Individual
CHRISTINE BLAIR-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
788 BELLWOOD RD, HAMPTON, VA 23666-2806
(757) 285-8392
Mailing address
788 BELLWOOD RD, HAMPTON, VA 23666-2806
(757) 285-8392
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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