Individual
KENESHA MOOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4935
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207080
VA
Other
Enumeration date
01/16/2007
Last updated
06/15/2021
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