BRANCH LACKES

MECHANICSVILLE, VA
NPI1538930318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: VA  0001261881)
Enumeration Date2024-01-11
Last Update Date2024-01-11
Business Address
BRANCH LACKES RN
7224 COLD CV
MECHANICSVILLE, VA 23111-3404
Phone number: 804-384-8481
Mailing Address
BRANCH LACKES RN
7224 COLD CV
MECHANICSVILLE, VA 23111-3404
Phone number: 804-384-8481
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