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Mr. Mario Jaquan Easter
Non-emergency Medical Transport (VAN) in Brodnax, Virginia
NPI 1821632886

Mario Jaquan Easter is a Non-emergency Medical Transport (VAN) based in Brodnax, VA. Mario Jaquan Easter practices in Brodnax, VA. The NPI Number for Mario Jaquan Easter is 1821632886 and holds a License No. (Virginia).

The current practice location address for Mario Jaquan Easter is 5644 Boydton Plank Rd, Brodnax, VA and can be reached out via phone at 434-532-5673. You can also correspond with Mario Jaquan Easter through the mailing address at 5644 BOYDTON PLANK RD, BRODNAX, VA - 23920-2156 (mailing address contact number: 434-532-5673).

Location: 5644 Boydton Plank Rd, Brodnax, VA, 23920-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821632886
Provider Name
Mario Jaquan Easter
Credential
Provider Entity Type
Individual
Gender
Male
Address
5644 Boydton Plank Rd, Brodnax, VA, 23920-2156
Phone Number
434-532-5673
Fax Number
Provider Enumeration Date
11/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5644 Boydton Plank Rd
City
Brodnax
State
Virginia
Zip
23920-2156
Phone Number
434-532-5673
Fax Number
person
Provider Business Mailing Address Details
Address
5644 Boydton Plank Rd
City
Brodnax
State
Virginia
Zip
23920-2156
Phone Number
434-532-5673
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
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Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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