Individual
IREM ASCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502-2291
(267) 330-9921
Mailing address
3907 HIGHWOOD CT NW, WASHINGTON, DC 20007-2132
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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