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Individual

LAURIE JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 WINDOMERE AVE, RICHMOND, VA 23227-2925
(804) 263-8847
Mailing address
801 WINDOMERE AVE, RICHMOND, VA 23227-2925
(804) 263-8847

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
T6250855
VA
172A00000X
Driver
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T62508555
DRIVERS LICENCE
VA
Enumeration date
09/13/2017
Last updated
07/21/2022
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