Provider Demographics
NPI:1437706520
Name:DUNN, LINDA D (MEDICAL TATTOOIST)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:DUNN
Suffix:
Gender:F
Credentials:MEDICAL TATTOOIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 FLOYD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-3014
Mailing Address - Country:US
Mailing Address - Phone:804-306-9584
Mailing Address - Fax:
Practice Address - Street 1:3014 FLOYD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-3014
Practice Address - Country:US
Practice Address - Phone:804-306-9584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2019-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, MedicalGroup - Single Specialty