Individual
MR. MICHAEL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6713 NEWINGTON RD, LORTON, VA 22079-1112
(571) 331-2555
Mailing address
6713 NEWINGTON RD, LORTON, VA 22079-1112
(571) 331-2555
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705118525
VA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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