Individual
TAMMY RENEE DESHAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
661 ARNETT BLVD, SUITE 1, DANVILLE, VA 24540-2506
(434) 857-2632
Mailing address
661 ARNETT BLVD, SUITE 1, DANVILLE, VA 24540-2506
(434) 857-2632
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
VA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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