Individual
MISS DESIRAE JONES MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
(757) 923-5548
Mailing address
413 BILTMORE PL, PORTSMOUTH, VA 23702-1103
(757) 339-3172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002095700
VA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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