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Organization

WAVERLY VOLUNTEER RESCUE SQUAD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAMER LEWIS MAYES (CAPTIAN)
(804) 691-7903
Entity
Organization

Contact information

Practice address
115 BANK ST, WAVERLY, VA 23890
(804) 834-2835
Mailing address
PO BOX 583, WAVERLY, VA 23890-0583

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
303
VA

Other

Enumeration date
08/24/2009
Last updated
08/24/2009
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