NPI 1679334775
Reginald Maurice Ralph
Practice location
- Address
- 1932 Kempsville Rd STE 107, Virginia Beach, VA 23464-6953
- Phone
- (757) 277-6070
- Mailing address
- 417 Clara Dr, Chesapeake, VA 23320-7031
Registered specialties (4)
Developmentally Disabled Services Day Training Agency
Primary
Community/Behavioral Health Agency
Adult Day Care Clinic/Center
Respite Care
Registry record
- NPI
- 1679334775
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jan 2024
- Record last updated
- 29 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.