Individual
MR. CLIFFORD G DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 MOUNT SIDNEY SCHOOL LN, APT. 104, MOUNT SIDNEY, VA 24467-2523
(540) 292-2447
Mailing address
26 MOUNT SIDNEY SCHOOL LN, APT. 104, MOUNT SIDNEY, VA 24467-2523
(540) 292-2447
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705-089910
VA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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