Individual
MR. CALVIN JOEL STEPHENSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
8234 RAILROAD AVENUE, IVOR, VA 23866
(757) 240-7012
Mailing address
POST OFFICE BOX 99, IVOR, VA 23866-0099
(757) 339-9823
(757) 859-6450
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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