Individual
TINA MARIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 JAMES AVE, COLONIAL HEIGHTS, VA 23834-2812
(804) 722-5889
Mailing address
604 JAMES AVE, COLONIAL HEIGHTS, VA 23834-2812
(804) 722-5889
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
47-2060180
VA
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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