Individual
MR. DEDRIC LEE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 N LABURNUM AVE APT 2, RICHMOND, VA 23223
(804) 787-4499
Mailing address
527 N LABURNUM AVE APT 2, RICHMOND, VA 23223-2943
(804) 787-4499
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
08/21/2018
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