Individual
MELVIN FUTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3025 S MILITARY HWY, CHESAPEAKE, VA 23323-4510
(757) 749-4626
Mailing address
3025 S MILITARY HWY, CHESAPEAKE, VA 23323-4510
(757) 749-4626
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T60655239
VA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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