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Shinon Yvette Clark
Driver in Windsor, Virginia
NPI 1356057061

Shinon Yvette Clark is a Driver based in Windsor, VA. Shinon Yvette Clark practices in Windsor, VA. The NPI Number for Shinon Yvette Clark is 1356057061 and holds a License No. T61533850 (Virginia).

The current practice location address for Shinon Yvette Clark is 24465 Curve Dr, Windsor, VA and can be reached out via phone at 757-619-5949.

Location: 24465 Curve Dr, Windsor, VA, 23487-4537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356057061
Provider Name
Shinon Yvette Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
24465 Curve Dr, Windsor, VA, 23487-4537
Phone Number
757-619-5949
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24465 Curve Dr
City
Windsor
State
Virginia
Zip
23487-4537
Phone Number
757-619-5949
Fax Number
person
Provider Business Mailing Address Details
Address
24465 Curve Dr
City
Windsor
State
Virginia
Zip
23487-4537
Phone Number
757-619-5949
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
T61533850 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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