Individual
PHILLIP JASON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17136 CLAIRMONT LN, FREDERICKSBURG, VA 22408-9330
(540) 842-0022
Mailing address
17136 CLAIRMONT LN, FREDERICKSBURG, VA 22408-9330
(540) 842-0022
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705134112
VA
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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