Individual
MRS. DANA PANTHER DAY-CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 WOODSIDE ST, HENRICO, VA 23231-5669
(804) 226-2348
(804) 226-2348
Mailing address
PO BOX 7598, HENRICO, VA 23231-0098
(804) 226-2348
(804) 226-2348
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168594866
—
VA
05
—
0168679519
—
VA
Enumeration date
12/31/2012
Last updated
12/31/2012
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