Organization
CRAFTMASTERS OF VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY MITCHELL HINES (PRESIDENT)
(804) 556-4510
Entity
Organization
Contact information
Practice address
2486 LOG CABIN RD, MAIDENS, VA 23102-2224
(804) 556-4510
(804) 556-3290
Mailing address
2486 LOG CABIN RD, MAIDENS, VA 23102-2224
(804) 556-4510
(804) 556-3290
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2705035510
VA
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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