Individual
ANTONIO BOYKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1248 MOORE ST, RICHMOND, VA 23220-2243
(804) 980-8281
Mailing address
1248 MOORE ST, RICHMOND, VA 23220-2243
(804) 980-8281
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
4608
VA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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