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Carlisa Antoinette Chandler
Private Vehicle in Halifax, Virginia
NPI 1033670773

Carlisa Antoinette Chandler is a Private Vehicle based in South Boston, VA. Carlisa Antoinette Chandler practices in Halifax, VA. The NPI Number for Carlisa Antoinette Chandler is 1033670773 and holds a License No. T62219932 (Virginia).

The current practice location address for Carlisa Antoinette Chandler is 1127 Marions Trl, Halifax, VA and can be reached out via phone at 434-579-4466.

Location: 1127 Marions Trl, Halifax, VA, 24592-1758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033670773
Provider Name
Carlisa Antoinette Chandler
Credential
Provider Entity Type
Individual
Gender
Female
Address
1127 Marions Trl, Halifax, VA, 24592-1758
Phone Number
434-579-4466
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1127 Marions Trl
City
Halifax
State
Virginia
Zip
24558-3129
Phone Number
434-579-4466
Fax Number
person
Provider Business Mailing Address Details
Address
1127 Marions Trl
City
Halifax
State
Virginia
Zip
24558-3129
Phone Number
434-579-4466
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
T62219932 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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