Edita Untalan
Edita Untalan is an Attendant Care Provider in Va Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2019
Practice location Address checks out
4713 Boxford RdVa Beach, VA 23456-5009
Phone: (757) 376-1755
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X (VA) |
|---|
Record details
| NPI number | 1083256077 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2019 |
| Last updated in NPPES | October 11, 2019 |
| Mailing address | 4713 Boxford Rd, Va Beach, VA 23456-5009 |