Individual
LAMARK FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
2703 NORTHUMBERLAND AVENUE, RICHMOND, VA 23220
(804) 908-3171
Mailing address
2703 NORTHUMBERLAND AVENUE, RICHMOND, VA 23220
(804) 908-3171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008431
VA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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