Individual
TYSHAWNA DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 SPEEDWAY LN, LAWRENCEVILLE, VA 23868-3931
(434) 532-3770
Mailing address
142 SPEEDWAY LN, LAWRENCEVILLE, VA 23868-3931
(434) 532-3770
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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