MR. Theron Powell
NPI #1669610473 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1669610473
- Entity Type
- Individual
- Name
- MR. Theron Powell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 2, 2009
- Last Updated
- Feb 2, 2009
Practice Location
- Address
- 3328 FONTAINE LN
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060-1924
- Phone
- (804) 347-6944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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