| NPI | 1184877961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEDDA STANCIL Office Manager/Owner 804-353-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 173C00000X Reflexologist | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2009-11-25 |