KETAVIA

MIDLOTHIAN, VA
NPI1629936703
Entity TypeOrganization
Authorized ContactKEISHA LOPEZ
Owner
804-308-3403
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2026-01-15
Last Update Date2026-01-19
Business Address
KETAVIA
5309 COMMONWEALTH CENTRE PKWY STE 105
MIDLOTHIAN, VA 23112-2633
Phone number: 804-940-8959
Mailing Address
KETAVIA
5309 COMMONWEALTH CENTRE PKWY STE 103
MIDLOTHIAN, VA 23112-2633
Phone number: 804-940-8959
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