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Individual

MR. GRADY SESSOMS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3007 E BOUNDARY TER STE 109, MIDLOTHIAN, VA 23112-3933
(804) 988-6294
Mailing address
3007 E BOUNDARY TER STE 109, MIDLOTHIAN, VA 23112-3933
(804) 988-6294

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-221959
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87-2662982
NON-MEDICAL
VA
Enumeration date
03/15/2022
Last updated
03/15/2022
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