NPI | 1285806786 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS MARVIN STILES Owner/President 757-872-0548 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: VA 0101016325) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2010-06-30 |