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Ms. Wendy Bacon
Private Vehicle in South Hill, Virginia
NPI 1407323124

Wendy Bacon is a Private Vehicle based in South Hill, VA. Wendy Bacon practices in South Hill, VA. The NPI Number for Wendy Bacon is 1407323124 and holds a License No. T69-50-5052 (Virginia).

The current practice location address for Wendy Bacon is 260 Tiny Rd, South Hill, VA and can be reached out via phone at 434-917-4292 and via fax at 434-447-2604.

Location: 260 Tiny Rd, South Hill, VA, 23970-4916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407323124
Provider Name
Wendy Bacon
Credential
Provider Entity Type
Individual
Gender
Female
Address
260 Tiny Rd, South Hill, VA, 23970-4916
Phone Number
434-917-4292
Fax Number
434-447-2604
Provider Enumeration Date
10/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
260 Tiny Rd
City
South Hill
State
Virginia
Zip
23970-4916
Phone Number
434-917-4292
Fax Number
434-447-2604
person
Provider Business Mailing Address Details
Address
260 Tiny Rd
City
South Hill
State
Virginia
Zip
23970-4916
Phone Number
434-917-4292
Fax Number
434-447-2604
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
T69-50-5052 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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