Individual
KOUDOUS BADIROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8831 PROCTORS RUN DR, NORTH CHESTERFIELD, VA 23237-2774
(804) 263-7331
Mailing address
8831 PROCTORS RUN DR, NORTH CHESTERFIELD, VA 23237-2774
(804) 263-7331
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/25/2019
Last updated
12/25/2019
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