Individual
CHADWICK LAMAR DUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1524 CRYSTAL LAKE DR, PORTSMOUTH, VA 23701-3624
(267) 257-3806
Mailing address
1524 CRYSTAL LAKE DR, PORTSMOUTH, VA 23701-3624
(267) 257-3806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019677
VA
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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