Individual
DAVID JUNIOR HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
641 EBONY RD, EBONY, VA 23845-2004
(434) 774-7161
Mailing address
641 EBONY RD, EBONY, VA 23845-2004
(434) 774-7161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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