Individual
DORIS ESTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24402 LAKE DR, NORTH DINWIDDIE, VA 23803-9434
(804) 926-5266
Mailing address
24402 LAKE DR, NORTH DINWIDDIE, VA 23803-9434
(804) 926-5266
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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