Individual
DELEISHA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3379
(804) 674-8888
Mailing address
3706 MADISON ST, NORTH PRINCE GEORGE, VA 23860-7318
(540) 277-4557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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