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Laura Custance
NPI 1891543351 · on the registry since 2024 · sole proprietor
Practice
- Address
- 236 Bald Eagle Way
Williamsburg, VA 23188 - Phone
- (202) 908-9946
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- CA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia