Individual
MISS MICHELLE HURDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 DARREN CIR, PORTSMOUTH, VA 23701-3103
(757) 725-0676
Mailing address
1651 DARREN CIR, PORTSMOUTH, VA 23701-3103
(757) 725-0676
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
A60685771
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A60685771
NON EMERGENCY TRANSPORTATION
VA
Enumeration date
05/17/2019
Last updated
05/17/2019
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