JERRY M LAWRENCE

KEYSVILLE, VA
NPI1891334199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies347C00000X Private Vehicle
Enumeration Date2020-01-03
Last Update Date2020-08-25
Business Address
JERRY M LAWRENCE
21 PINE RD
KEYSVILLE, VA 23947-2018
Phone number: 804-787-3831
Mailing Address
JERRY M LAWRENCE
587 LAWRENCE LN # 6
KEYSVILLE, VA 23947-3611
Phone number: 804-787-3831
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