Individual
BERNITA DANICA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 THEATER RD, SOUTH HILL, VA 23970
(571) 444-3106
(434) 757-2218
Mailing address
436 THEATER RD, SOUTH HILL, VA 23970-5024
(434) 233-7718
(434) 757-2218
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
VA
Enumeration date
10/31/2017
Last updated
07/19/2018
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