Individual
VERONICA PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 BEECH ST, PETERSBURG, VA 23803-4667
(804) 895-1982
Mailing address
511 BEECH ST, PETERSBURG, VA 23803-4667
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024183035
VA
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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