Individual
ED WILLIAM ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 LINDEN AVE, SUFFOLK, VA 23434-5827
(757) 749-5579
Mailing address
401 LINDEN AVE, SUFFOLK, VA 23434-5827
(757) 749-5579
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705128261
VA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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