LA KRISTA FANT

PETERSBURG, VA
NPI1710595657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: VA  0001289588)
Enumeration Date2020-07-16
Last Update Date2020-07-16
Business Address
LA KRISTA FANT
250 FLANK RD
PETERSBURG, VA 23805-9117
Phone number: 804-861-2223
Mailing Address
LA KRISTA FANT
20010 OAKLAND AVE
SOUTH CHESTERFIELD, VA 23834-5709
Phone number: 804-590-4282
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