Individual
IISHA SILVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8030 W BROAD ST, RICHMOND, VA 23294-4223
(804) 397-3340
Mailing address
3615 CHAMBERLAYNE AVE APT 8, RICHMOND, VA 23227-4538
(804) 397-3340
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1204018931
VA
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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