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Shalonda Tenille Carson
Driver in Locust Grove, Virginia
NPI 1326607821

Shalonda Tenille Carson is a Driver based in Locust Grove, VA. Shalonda Tenille Carson practices in Locust Grove, VA. The NPI Number for Shalonda Tenille Carson is 1326607821 and holds a License No. A660027663 (Virginia).

The current practice location address for Shalonda Tenille Carson is 2042 Mourning Dove Dr, Locust Grove, VA and can be reached out via phone at 571-230-7945.

Location: 2042 Mourning Dove Dr, Locust Grove, VA, 22508-3118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326607821
Provider Name
Shalonda Tenille Carson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2042 Mourning Dove Dr, Locust Grove, VA, 22508-3118
Phone Number
571-230-7945
Fax Number
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2042 Mourning Dove Dr
City
Locust Grove
State
Virginia
Zip
22508-3118
Phone Number
571-230-7945
Fax Number
person
Provider Business Mailing Address Details
Address
2042 Mourning Dove Dr
City
Locust Grove
State
Virginia
Zip
22508-3118
Phone Number
571-230-7945
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
A660027663 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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