Individual
SALLY PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4900
(803) 323-4040
(804) 323-3787
Mailing address
9550 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4900
(803) 323-4040
(804) 323-3787
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1202210958
VA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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