Individual
LAURA B DEYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 PEACH GROVE RD, ST STEPHENS, CHURCH, VA 23148
(804) 296-7234
Mailing address
1008 PEACH GROVE RD, ST STEPHENS, CHURCH, VA 23148
(804) 296-7234
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T67007434
DRIVER LICENSE
VA
Enumeration date
01/14/2022
Last updated
01/14/2022
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