Individual
MR. RANDALL KENNETH CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
GENERAL CONTRACTOR
Contact information
Practice address
8902 ORBY CANTRELL HWY, POUND, VA 24279-3216
(276) 796-5789
(276) 796-5789
Mailing address
8902 ORBY CANTRELL HWY, POUND, VA 24279-3216
(276) 796-5789
(276) 796-5789
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705030223
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010277388
—
VA
Enumeration date
02/01/2007
Last updated
07/09/2007
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