Individual
DESIREE LANCASTER-BUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
126 N CEDAR AVE, HENRICO, VA 23075-1429
(804) 999-1719
Mailing address
126 N CEDAR AVE, HENRICO, VA 23075-1429
(804) 999-1719
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001246692
VA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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