Individual
FALLON KATHLEEN REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 W MAIN ST APT 2, RICHMOND, VA 23220-4827
(732) 646-0032
Mailing address
1330 W MAIN ST APT 2, RICHMOND, VA 23220-4827
(732) 646-0032
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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