Individual
SAMUEL SPONEYBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 LEMOINE LN, NORTH CHESTERFIELD, VA 23236-3702
(804) 418-9831
Mailing address
740 LEMOINE LN, NORTH CHESTERFIELD, VA 23236-3702
(804) 418-9831
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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