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Samantha Renee Harris
Driver in South Boston, Virginia
NPI 1629581616

Samantha Renee Harris is a Driver based in South Boston, VA. Samantha Renee Harris practices in South Boston, VA. The NPI Number for Samantha Renee Harris is 1629581616 and holds a License No. T62226719 (Virginia).

The current practice location address for Samantha Renee Harris is 1324 Bernard St, South Boston, VA and can be reached out via phone at 434-222-3502.

Location: 1324 Bernard St, South Boston, VA, 24592-2612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629581616
Provider Name
Samantha Renee Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
1324 Bernard St, South Boston, VA, 24592-2612
Phone Number
434-222-3502
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1324 Bernard St
City
South Boston
State
Virginia
Zip
24592-2612
Phone Number
434-222-3502
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Bernard St
City
South Boston
State
Virginia
Zip
24592-2612
Phone Number
434-222-3502
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
T62226719 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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