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Octavia King
NPI 1588244925 · on the registry since 2021 · sole proprietor
Practice
- Address
- 7232 Proclamation Dr
Ruther Glen, VA 22546 - Phone
- (443) 248-1463
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-17
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