| Bridging B.l.o.c.k.s, LLC | |
|
331 Kemp Ln Chesapeake VA 23325-2302 | |
| (757) 470-1174 | |
| (757) 909-6831 |
| Full Name | Bridging B.l.o.c.k.s, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 331 Kemp Ln, Chesapeake, Virginia |
| Authorized Official Name and Position | Crystal Fields (OWNER) |
| Authorized Official Contact | 7574701174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging B.l.o.c.k.s, LLC 331 Kemp Ln Chesapeake VA 23325-2302 Ph: (757) 470-1174 | Bridging B.l.o.c.k.s, LLC 331 Kemp Ln Chesapeake VA 23325-2302 Ph: (757) 470-1174 |
| NPI Number | 1386249431 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386249431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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