NPI | 1659885945 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD N VALENTINE President 757-473-2021 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: VA VA0101031884) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2017-11-22 |