Individual
MRS. DONNA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 ELK GARDEN RD, LEBANON, VA 24266-6604
(276) 701-4466
Mailing address
1314 ELK GARDEN RD, LEBANON, VA 24266-6604
(276) 701-4466
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
T66501724
VA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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