Individual
TRAMAINE MOULTRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LESLIE ANN DR, RICHMOND, VA 23223-2209
(804) 253-2674
Mailing address
1001 LESLIE ANN DR, RICHMOND, VA 23223-2209
(804) 253-2674
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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