Individual
DWAYNE LAMONT YOUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 BLUE ROCK RD, VERNON HILL, VA 24597-3091
(434) 222-8894
(434) 476-1539
Mailing address
1150 BLUE ROCK RD, VERNON HILL, VA 24597-3091
(434) 222-8894
(434) 476-1539
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T62202755
VA
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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