Individual
MR. MATTHEW PAUL VANALSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8057 CHARLEMONT RD, GOODE, VA 24556-3065
(540) 266-3946
(540) 266-3949
Mailing address
8057 CHARLEMONT RD, GOODE, VA 24556-3065
(540) 266-3946
(540) 266-3949
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
27051131278A
VA
171W00000X
Contractor
CBC1252455
FL
171WH0202X
Home Modifications Contractor
27051131278A
VA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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