NPI 1538689088

Phillip Jason Parker

Practitioner Home Modifications Contractor Fredericksburg, VA

Practice location

Address: 17136 Clairmont Ln, Fredericksburg, VA 22408-9330
Phone: (540) 842-0022

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 2705134112 (VA)

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Registry record

NPI: 1538689088
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.