Organization
CLEARR VISSION SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERWIN HICKMAN SR. (OWNER)
(804) 677-8307
Entity
Organization
Contact information
Practice address
4220 OAKLEYS CT, RICHMOND, VA 23223-5970
(804) 677-8307
(804) 271-8612
Mailing address
4220 OAKLEYS CT, RICHMOND, VA 23223-5970
(804) 677-8307
(804) 271-8612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
790
VA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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