Individual
JA'KARA MCCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
105 VICAR PL, DANVILLE, VA 24540-1241
(434) 272-8372
Mailing address
105 VICAR PL, DANVILLE, VA 24540-1241
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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