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1952002842
TIARA CHANTELLE RODDICK
CHESAPEAKE, VA
NPI
1952002842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002102557)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
TIARA CHANTELLE RODDICK LPN
671 INDEPENDENCE PARKWAY SUITE 110
CHESAPEAKE, VA 23320
Phone number: 757-970-0353
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Mailing Address
TIARA CHANTELLE RODDICK LPN
804 ARCHWAY CT APT 103
VIRGINIA BEACH, VA 23455-6245
Phone number: 254-630-4619
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