Individual
LACOSTA MARIA MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N BATH AVE, WAYNESBORO, VA 22980-5027
(540) 471-0115
Mailing address
209 N BATH AVE, WAYNESBORO, VA 22980-5027
(540) 471-0115
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
0002071535
VA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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