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Organization

ACIRA HEALTH PROFESSIONAL INC

Active
Other names
THE PRACTICE, SET FEE CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMEANTHEA BLANCO D.N.P., FNP-C (EXECUTIVE DIRECTOR)
(757) 777-7267
Entity
Organization

Contact information

Practice address
3380 PRINCESS ANNE RD, STE 109C, VIRGINIA BEACH, VA 23456-2620
(757) 777-7267
Mailing address
3952 TARTAN TRL, VIRGINIA BEACH, VA 23456-1512
(757) 777-7267

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0024166866
VA

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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