Individual
DAVID SHAWN HANBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 CHURCH RD, POQUOSON, VA 23662-2204
(757) 771-9548
(757) 868-6527
Mailing address
128 CHURCH RD, POQUOSON, VA 23662-2204
(757) 771-9548
(757) 868-6527
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-4181838
FEIN
VA
Enumeration date
11/27/2013
Last updated
11/27/2013
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