Individual
VIRGINIA M INGALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10181 JASMAC LN, MECHANICSVILLE, VA 23116-3033
(804) 730-6547
Mailing address
10181 JASMAC LN, MECHANICSVILLE, VA 23116-3033
(804) 730-6547
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
0019001626
VA
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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