Commonwealth Of Virginia State Board Of Health

NPI 1053386979 - Clinic/Center - 261QP0905X

NPI Details
NPI 1053386979
Enumeration Date 02/22/2006
Last Updated 06/09/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ANGELA YVETTE ANGELA
Position BUSINESS MANAGER
Phone (757) 653-3040
Fax (757) 653-0834
Practice Location
26022 ADMINISTRATIVE CENTER DRIVE
COURTLAND VA, 23837-0009, US
Phone (757) 653-3040
Fax (757) 653-0834
Business Location
26022 ADMINISTRATIVE CENTER DRIVE
PO BOX 09
COURTLAND VA, 23837-0009, US
Phone (757) 653-3040
Fax (757) 653-0834
Toxanomy
Taxonomy Code 261QP0905X
License State
License Number
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According to our database, Commonwealth Of Virginia State Board Of Health NPI is 1053386979, taxonomy code is 261QP0905X Commonwealth Of Virginia State Board Of Health physically located at 26022 Administrative Center Drive, Courtland VA, 23837-0009. NPI Number 1033115704 has the healthcare provider type.

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1053386979 NPI number is provided on an as is basis without warranty of any kind. 1053386979 is maintained by the National Plan & Provider Enumeration System. The contents of Commonwealth Of Virginia State Board Of Health are for informational purposes only.