Individual
TREVOR NAJEE PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 BROOKDALE ST STE 2, MARTINSVILLE, VA 24112-3105
(276) 790-4301
(276) 790-3167
Mailing address
PO BOX 3542, MARTINSVILLE, VA 24115-3542
(276) 618-4604
(276) 790-3167
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242569520
—
VA
Enumeration date
03/19/2018
Last updated
06/16/2018
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