SearchVirginia171WH0202X

Paul Desilets

NPI 1760635130 · on the registry since 2008 · sole proprietor

Practice

Address
11615 New Bond St
Fredericksburg, VA 22408
Phone
(540) 891-9565
Organisation at this address
Pad Renovations
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171WH0202X
171WH0202X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-29

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