Individual
MR. CALVIN LEE BRUCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2103 E PARHAM RD, HENRICO, VA 23228-2235
(434) 865-0215
Mailing address
5661 JESSUP MEADOWS DR, NORTH CHESTERFIELD, VA 23234-4188
(434) 865-0215
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010556
VA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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