NPI | 1568543411 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA GOULD Office Manager 804-346-1612 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: VA 0101046045) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101235753) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |