Individual
VYCKI J MIDGETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26444 GLADDING RD, MEARS, VA 23409-2304
(757) 990-1649
Mailing address
26444 GLADDING RD, MEARS, VA 23409-2304
(757) 990-1649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002089654
VA
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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