Whalio Doctors

NPI 1811193931

Corliss Voncille Booker, RN

Practitioner Administrator Registered Nurse Chester, VA

Practice location

Address
14101 Lyndhurst Dr, Chester, VA 23831-8804
Phone
(804) 425-5190
Fax
(804) 425-5359

Registered specialties

Administrator Registered Nurse Primary
Nursing Service Providers Taxonomy 163WA2000X Licence 0001085795 (VA)

Registry record

NPI
1811193931
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jun 2007
Record last updated
8 Jul 2007

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.