Corliss Voncille Booker RN

NPI 1811193931 - Registered Nurse - 163WA2000X

NPI Details
NPI 1811193931
Gender Female
Enumeration Date 06/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14101 LYNDHURST DR
CHESTER VA, 23831-8804, US
Phone (804) 425-5190
Fax (804) 425-5359
Business Location
14101 LYNDHURST DR
CHESTER VA, 23831-8804, US
Phone (804) 425-5190
Fax (804) 425-5359
Toxanomy
Taxonomy Code 163WA2000X
License State Virginia
License Number 0001085795
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According to our database, Dr. Corliss Voncille Booker RN NPI is 1811193931, taxonomy code is 163WA2000X and license number is 0001085795, license state is located at Virginia. Corliss Voncille Booker RN physically located at 14101 Lyndhurst Dr, Chester VA, 23831-8804. NPI Number Corliss Voncille Booker RN has the Individual type.

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1811193931 NPI number is provided on an as is basis without warranty of any kind. 1811193931 is maintained by the National Plan & Provider Enumeration System. The contents of Corliss Voncille Booker RN are for informational purposes only.