Individual
MRS. DANITA EVANS MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9401
Mailing address
1194 DICKIE RD, ROSELAND, VA 22967-2904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001267324
VA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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