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Waverly Dandridge

NPI 1912374786 · on the registry since 2015 · sole proprietor

Practice

Address
3106 Mountain Rd
Glen Allen, VA 23060
Phone
(804) 240-6252
Fax
(804) 562-4411
Organisation at this address
Wealcan Human Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-27

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