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Saint Clary
NPI 1295202893 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2293 Brodnax Road
Brodnax, VA 23920 - Phone
- (804) 824-0305
- Fax
- (434) 636-2998
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia