Individual
MRS. KATHYANNE PARKER RUNNINGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3 AMES ST, ONANCOCK, VA 23417-1804
(757) 787-3784
Mailing address
3 AMES ST, ONANCOCK, VA 23417-1804
(757) 787-3784
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230001061
VA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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