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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Manquin
State
Virginia
Zip
23106-2318
Phone Number
804-246-8742
Fax Number
person
Provider Business Mailing Address Details
Address
2780 Mahixon Rd
City
Manquin
State
Virginia
Zip
23106-2318
Phone Number
804-246-8742
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
A67201169 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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