Individual
JERRY AGBAEZE OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 MERIWETHER RD, LYNCHBURG, VA 24503-1844
(434) 942-6187
Mailing address
209 MERIWETHER RD, LYNCHBURG, VA 24503-1844
(434) 942-6187
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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