Other Service Providers (650) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Other Service Providers
CLASSIFICATION
Specialist
AREA OF SPECIALIZATION
Research Study
STATUS
Active
VA CODE
V081904
X12 CODE
1744R1102X
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253212
EFFECTIVE DATE/TIME
2018-04-02 15:35:50
STATUS: ACTIVE
