Individual
MRS. DONNA LEE ANDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1490 PANTOPS MOUNTAIN PL, SIUTE 202, CHARLOTTESVILLE, VA 22911-4601
(434) 245-6472
Mailing address
1623 GATEWICK PLACE, KESWICK, VA 22947
(434) 244-0883
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2305205639
VA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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