Individual provider · Type 1 NPI
Saint Stanley Clary
Driver · Brodnax, VA
NPI number
1295202893
Active
Practice location
2293 Brodnax Road
Brodnax, VA 23920
Fax (434) 636-2998
Mailing address
PO Box 365
Brodnax, VA 23920-0365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | T69526555 (VA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Brodnax
About NPI 1295202893
Saint Stanley Clary's National Provider Identifier is 1295202893, issued on Nov 1, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Brodnax, VA. The record was last updated on Nov 1, 2018.