Individual
MRS. CAROLYN STANLEY KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 VISTA HEIGHTS DR, HUDDLESTON, VA 24104-4021
(434) 907-6796
Mailing address
1419 VISTA HEIGHTS DR, HUDDLESTON, VA 24104-4021
(434) 907-6796
(540) 297-4856
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T60432670
VA
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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