Individual
LARRY DENSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCS
Contact information
Practice address
909 HIOAKS RD, SUITE# D, RICHMOND, VA 23225-4038
(804) 292-0968
Mailing address
10112 IRON MILL RD, NORTH CHESTERFIELD, VA 23235-3934
(804) 475-1735
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
00026046
VA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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