Individual
ROBERT R EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 LAKESIDE WOODS DR, BUMPASS, VA 23024-9685
(540) 878-6669
Mailing address
2512 LAKESIDE WOODS DR, BUMPASS, VA 23024-9685
(540) 878-6669
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705134042
VA
Other
Enumeration date
12/03/2010
Last updated
03/15/2012
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