Individual
DAVID ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 WILLARDS FERRY RD, JONESBORO, IL 62952-1113
(618) 614-2946
Mailing address
2364 BERRYVILLE RD, JONESBORO, IL 62952-2222
(618) 614-2946
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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