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Omar Edmond
Driver in Suffolk, Virginia
NPI 1780105809

Omar Edmond is a Driver based in Suffolk, VA. Omar Edmond practices in Suffolk, VA. The NPI Number for Omar Edmond is 1780105809 and holds a License No. A69694616 (Virginia).

The current practice location address for Omar Edmond is 118 Fayette St, Suffolk, VA and can be reached out via phone at 757-477-4847. You can also correspond with Omar Edmond through the mailing address at 118 FAYETTE ST, SUFFOLK, VA - 23434-5458 (mailing address contact number: ).

Location: 118 Fayette St, Suffolk, VA, 23434-5458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780105809
Provider Name
Omar Edmond
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 Fayette St, Suffolk, VA, 23434-5458
Phone Number
757-477-4847
Fax Number
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
118 Fayette St
City
Suffolk
State
Virginia
Zip
23434-5458
Phone Number
757-477-4847
Fax Number
person
Provider Business Mailing Address Details
Address
118 Fayette St
City
Suffolk
State
Virginia
Zip
23434-5458
Phone Number
757-477-4847
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
A69694616 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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