Individual
KERMIT PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 BURR DR, RUTHER GLEN, VA 22546-5102
(804) 448-0042
Mailing address
306 BURR DR, RUTHER GLEN, VA 22546-5102
(804) 448-0042
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705064222
VA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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