Individual
ANTWANETTE LEIGH SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3714 RADFORD CIR, CHESAPEAKE, VA 23321-4744
(757) 289-9459
Mailing address
3714 RADFORD CIR, CHESAPEAKE, VA 23321-4744
(757) 289-9459
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401105452
VA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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