Individual
DEMETRIA MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8803 RAMS CIR, NORTH CHESTERFIELD, VA 23236-1369
(804) 482-0569
Mailing address
PO BOX 74244, NORTH CHESTERFIELD, VA 23236-0005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024197884
VA
Other
Enumeration date
06/29/2026
Last updated
06/30/2026
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