Individual
MISS LOU ANN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
374 YEATTS RD, MARTINSVILLE, VA 24112-0434
(276) 790-2263
(276) 632-1074
Mailing address
PO BOX 374, AXTON, VA 24054-0374
(276) 790-2263
(276) 632-1074
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0163719807
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163719807
—
VA
Enumeration date
01/12/2017
Last updated
01/12/2017
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