Individual
RODNEY SHANE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
RR 1 BOX 938, DRYDEN, VA 24243-9740
(276) 523-2884
(276) 523-4902
Mailing address
RR 1 BOX 938, DRYDEN, VA 24243-9740
(276) 523-2884
(276) 523-4902
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705 113696
VA
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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