RANDY DODGE

LYNCHBURG, VA
NPI1316313133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: VA  2306601877)
Enumeration Date2015-08-16
Last Update Date2015-08-16
Business Address
-- RANDY DODGE
911 MILL STREAM LN
LYNCHBURG, VA 24502-4222
Phone number: 772-925-9667
Mailing Address
-- RANDY DODGE
911 MILL STREAM LN
LYNCHBURG, VA 24502-4222
Phone number: 772-925-9667