person
Tenea Latrice Walker
Private Vehicle in Manquin, Virginia
NPI 1720601065

Tenea Latrice Walker is a Private Vehicle based in Aylett, VA. Tenea Latrice Walker practices in Manquin, VA. The NPI Number for Tenea Latrice Walker is 1720601065 and holds a License No. A67201169 (Virginia).

The current practice location address for Tenea Latrice Walker is 2780 Mahixon Rd, Manquin, VA and can be reached out via phone at 804-246-8742.

Location: 2780 Mahixon Rd, Manquin, VA, 23009-1012
person
Provider Profile Details
NPI Number
1720601065
Provider Name
Tenea Latrice Walker
Credential
Provider Entity Type
Individual
Gender
Female
Address
2780 Mahixon Rd, Manquin, VA, 23009-1012
Phone Number
804-246-8742
Fax Number
Provider Enumeration Date
05/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
347C00000X- 05 VA
institution
Provider Business Practice Location Address Details
Address
2780 Mahixon Rd
City
State
Zip
23106-2318
Phone Number
804-246-8742
Fax Number
person
Provider Business Mailing Address Details
Address
2780 Mahixon Rd
City
State
Zip
23106-2318
Phone Number
804-246-8742
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
A67201169 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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