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Individual

MARI-TATE KENDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6890 GREENSBORO RD, RIDGEWAY, VA 24148-3555
(276) 956-1013
Mailing address
627 BACHELOR HALL FARM RD, DANVILLE, VA 24541-8820

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179420
VA

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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