Individual
RONALD GAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14855 KINGS HWY, DRAKES BRANCH, VA 23937-2526
(434) 208-0695
Mailing address
14855 KINGS HWY, DRAKES BRANCH, VA 23937-2526
(434) 208-0695
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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