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Individual

MICHELLE DENISE DUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWENER

Contact information

Practice address
1015 SAINT JULIAN AVE, NORFOLK, VA 23504
(757) 893-0106
(757) 226-7148
Mailing address
1015 SAINT JULIAN AVE, NORFOLK, VA 23504-2823
(757) 893-0106
(757) 226-7148

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
920787
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81-4249183
VA
Enumeration date
08/10/2017
Last updated
07/21/2022
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