Individual
STACEY ALEXANDER BARKSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
838 CARIBE PL, 838 CARIBE PLACE, VIRGINIA BEACH, VA 23462-1151
(757) 362-7822
Mailing address
838 CARIBE PL, 838 CARIBE PLACE, VIRGINIA BEACH, VA 23462-1151
(757) 362-7822
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A60542664
VA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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