Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-09-14
- Last updated
- 2010-02-04
Specialties
Licenses
- License VA
- 2305003148
Location
- Practice location
- 246B ROLLA MILL RD
- City
- VERONA VA
- Postal code
- 24482
- Phone
- 540-248-2494
Organization contact
- Name
- BEVERLY KISER
- Title
- President
- Phone
- 5402482494
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.