Individual
LAURA HUNDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7861 INDIAN RD, GLOUCESTER, VA 23061-5258
(804) 296-7075
Mailing address
PO BOX 415, HARTFIELD, VA 23071-0415
(804) 296-7075
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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