Individual
NOAH NA RICHARD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 BERRYVILLE AVE, WINCHESTER, VA 22601-5663
(571) 339-4985
Mailing address
PO BOX 6961, WOODBRIDGE, VA 22195-6961
(571) 339-4985
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N12-761
VA
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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