Details as stated in the register
- DPOR board / occupation / certificate number
- 2701028353
- Source license rank
- A
- Source specialty codes
- PAV
- Source certification date
- 07/30/1986
- Source expiration date
- 07/31/2028
- Address city as filed
- FREDERICKSBURG
- Address state as filed
- VA
- Address ZIP as filed
- 22405
Register status and classifications are reproduced from the source. No independently verified business activity, customer premises, contact details, insurance or trade license is implied.
Contact details from the register (unverified)
- Email as filed
- kwillis@a-annandale.com
These contact details are reproduced from the register. Reachability and control of the contact or website have not been independently checked. An email domain alone is not shown as an official website.