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Individual

SPENCER HUNTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
21607 LEE ST, SOUTH CHESTERFIELD, VA 23803-8033
(804) 721-8351
Mailing address
PO BOX 171, SUTHERLAND, VA 23885-0171
(804) 721-8351

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6291
VA
Enumeration date
06/08/2022
Last updated
06/08/2022
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