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Clarence Mayo
NPI 1962821611 · on the registry since 2014 · sole proprietor
Practice
- Address
- 153 Blackheath
Williamsburg, VA 23188 - Phone
- (757) 209-1060
- Fax
- (757) 345-0125
- Organisation at this address
- Faith Hope Care Provider
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 305S00000X
305S00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia