| NPI | 1457378804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA BOOKER Billing Manager 804-323-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024131004) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-08-08 |