Individual
LAURA AMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 WALL AVE, HOPEWELL, VA 23860-6040
(804) 451-8496
Mailing address
1105 WALL AVE, HOPEWELL, VA 23860-6040
(804) 451-8496
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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