Individual
MR. VICTOR TRACY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
395 RICHMOND ST, JONESVILLE, VA 24263-6505
(276) 346-4161
Mailing address
395 RICHMOND ST, JONESVILLE, VA 24263-6505
(276) 346-4161
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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