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Individual

ALISHA TREADWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22181 LAKE JORDAN DR, NORTH DINWIDDIE, VA 23803-6553
(804) 926-3037
(804) 926-3037
Mailing address
22181 LAKE JORDAN DR, NORTH DINWIDDIE, VA 23803-6553
(804) 926-3037
(804) 926-3037

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
05/18/2018
Last updated
05/18/2018
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