Individual
MRS. RINEQUA O'BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 350-4286
Mailing address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 350-4286
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024172158
VA
Other
Enumeration date
09/25/2015
Last updated
10/12/2018
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