Individual
LYNNIQUE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 S LABURNUM AVE STE 119, HENRICO, VA 23231-2489
(804) 767-3553
Mailing address
223 CARLSTONE DR, HENRICO, VA 23075-2502
(804) 690-1739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1201079970
VA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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