Individual
THERESA DAVIS LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4308A RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5307
(703) 966-7238
(703) 763-3615
Mailing address
4308A RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5307
(703) 966-7238
(703) 763-3615
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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