Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI # | 1487629374 |
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| LBN Legal business name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH | ||||||||||||||||
| Authorized official | ANGELA TILLERY - (BUSINESS MANAGER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 02/22/2006 | ||||||||||||||||
| Last updated | 02/09/2010 - About 16 years ago | ||||||||||||||||
| Identifiers |
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