Individual
LOURS MARSEILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 NORTH RD, RICHMOND, VA 23227-2604
(804) 551-8117
Mailing address
519 NORTH RD, RICHMOND, VA 23227-2604
(804) 551-8117
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A67104643
VA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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