Individual
FUTURE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 JIMANETTA RD., BRACEY, VA 23919
(917) 659-4514
Mailing address
PO BOX 613, BRACEY, VA 23919-0613
(917) 659-4514
(434) 689-3110
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
VA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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