Individual
JESSE LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 DOGTOWN RD, GOOCHLAND, VA 23063-2424
(804) 556-4418
Mailing address
30 CHASE GAYTON CIR, APT 833, RICHMOND, VA 23238-6534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604083
VA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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