Individual
FRANCINE TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11754 JEFFERSON HWY, MINERAL, VA 23117-3113
(540) 872-1726
Mailing address
11754 JEFFERSON HWY, MINERAL, VA 23117-3113
(540) 872-1726
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
VA
Enumeration date
10/21/2019
Last updated
10/21/2019
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