Individual
KOREN A GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 MAJESTIC CIR, VIRGINIA BEACH, VA 23452-1712
(757) 376-5663
Mailing address
172 MAJESTIC CIR, VIRGINIA BEACH, VA 23452-1712
(757) 376-5663
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2019-805084
VA
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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