Individual
MRS. PATRICIA H FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
20 W BANK ST, PETERSBURG, VA 23803
(804) 862-8002
Mailing address
15021 NORTHWOOD DR., CHESTERFIELD, VA 23838
(804) 733-5429
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0001109283
VA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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