Individual
MONICA REVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 F ST, LYNCHBURG, VA 24504-4302
(434) 485-2847
(434) 485-2847
Mailing address
312 F ST, LYNCHBURG, VA 24504-4302
(434) 485-2847
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T60428715
VA
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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