Individual
LORONIA GRAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 DYE PLANT RD, MARTINSVILLE, VA 24112-0673
(127) 640-3129
Mailing address
444 DYE PLANT RD, MARTINSVILLE, VA 24112-0673
(276) 201-4801
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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