Individual
MAURICE VAN GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6062 CLEAR SPRINGS RD, VA BEACH, VA 23464-4638
(757) 933-9897
Mailing address
4016 THOMAS JEFFERSON DR, VA BEACH, VA 23452-1913
(757) 933-9897
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
06/19/2017
Last updated
06/23/2017
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