Shanica Campbell is a Driver based in Richmond, VA. Shanica Campbell practices in Richmond, VA. The NPI Number for Shanica Campbell is 1063062040 and holds a License No. (Virginia).
The current practice location address for Shanica Campbell is 1811 Powhatan St, Richmond, VA and can be reached out via phone at 804-399-5116.
Location: 1811 Powhatan St, Richmond, VA, 23220-6615
Provider Profile Details
NPI Number
1063062040
Provider Name
Shanica Campbell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1811 Powhatan St, Richmond, VA, 23220-6615
Phone Number
804-399-5116
Fax Number
Provider Enumeration Date
09/12/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 842221082 | 05 | VA |
Provider Business Practice Location Address Details
Address
1811 Powhatan St
City
State
Zip
23220-6615
Phone Number
804-399-5116
Fax Number
Provider Business Mailing Address Details
Address
1811 Powhatan St
City
State
Zip
23220-6615
Phone Number
804-399-5116
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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