Individual
MYRA PAYNE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 RED MILL RD, NORFOLK, VA 23502-3556
(757) 803-7943
Mailing address
690 RED MILL RD, NORFOLK, VA 23502-3556
(757) 803-7943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001103851
VA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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