TARARNCE DERAIL ELAM

LYNCHBURG, VA
NPI1154927747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343800000X Secured Medical Transport (VAN)
(Licence: VA  T60711698)
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
TARARNCE DERAIL ELAM
491 RUSSELL SPRINGS DR
LYNCHBURG, VA 24501-7280
Phone number: 434-473-2262
Mailing Address
TARARNCE DERAIL ELAM
491 RUSSELL SPRINGS DR
LYNCHBURG, VA 24501-7280
Phone number: 434-473-2262