Individual
MR. HERBERT JEROME MARSHALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 FEDERAL ST APT B, LYNCHBURG, VA 24504-2242
(434) 509-2628
Mailing address
53 FEDERAL ST APT B, LYNCHBURG, VA 24504-2242
(434) 509-2628
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T60418466
VA
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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