Individual
CHAVON D MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 CHAMBERS ST, LYNCHBURG, VA 24501-5414
(434) 213-5456
(434) 333-4125
Mailing address
604 CHAMBERS ST, LYNCHBURG, VA 24501-5414
(434) 213-5456
(434) 333-4125
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
A60409034
VA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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