Individual
MS. LUCY ANN MEMMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
10301 DURYEA DR, RICHMOND, VA 23235-1707
(804) 327-0266
Mailing address
10301 DURYEA DR, RICHMOND, VA 23235-1707
(804) 327-0266
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PGP-140514
VA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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