Organization
MAKIA CARPENTRY ,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BURDETT GRAHAM (PRESIDENT)
(757) 536-0853
Entity
Organization
Contact information
Practice address
5405 HEATHERWOOD CIR, VIRGINIA BEACH, VA 23455-6693
(757) 536-0853
Mailing address
5405 HEATHERWOOD CIR, VIRGINIA BEACH, VA 23455-6693
(757) 536-0853
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2705 116088A
VA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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