Individual
DANIELLE LATRICE UPSHAW-BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10467 CENTRALIA STATION RD, CHESTER, VA 23831-1147
(804) 243-1034
(844) 364-8887
Mailing address
PO BOX 8916, RICHMOND, VA 23225-0616
(804) 243-1034
(844) 364-8887
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T64242793
VA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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