| NPI | 1366534588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HOLMES Office Manager 804-323-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 02183160139006060508) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-12-15 |