Individual
IVY HARDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20715 TIMBERLAKE RD STE 102, LYNCHBURG, VA 24502-7217
(434) 509-0460
Mailing address
20715 TIMBERLAKE RD STE 102, LYNCHBURG, VA 24502-7217
(434) 509-0460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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