Individual
HATTIE DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117A TRADEWYND DR, LYNCHBURG, VA 24502-3112
(434) 610-4902
Mailing address
117A TRADEWYND DR, LYNCHBURG, VA 24502-3112
(434) 610-4902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
077651
NC
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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