Individual
MS. JAMIE ALLISON LANEAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, CMCP
Contact information
Practice address
4124 E PARHAM RD, HENRICO, VA 23228-3745
(804) 647-9378
Mailing address
4124 E PARHAM RD, HENRICO, VA 23228-3745
(804) 647-9378
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
0019010723
VA
174400000X
Specialist
Primary
0019010723
VA
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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