Individual
TIARA CHANTELLE RODDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
671 INDEPENDENCE PARKWAY, SUITE 110, CHESAPEAKE, VA 23320
(757) 970-0353
Mailing address
804 ARCHWAY CT APT 103, VIRGINIA BEACH, VA 23455-6245
(254) 630-4619
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002102557
VA
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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