Individual
BOBBY PRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 SEDIUM LN, PORTSMOUTH, VA 23701-2747
(757) 729-8450
Mailing address
318 SEDIUM LN, PORTSMOUTH, VA 23701-2747
(757) 729-8450
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8588-08-011
VA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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