Individual
ANITREOUS HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 ELLSBERG CT, VIRGINIA BEACH, VA 23464-6607
(757) 550-7477
Mailing address
1608 ELLSBERG CT, VIRGINIA BEACH, VA 23464-6607
(757) 550-7477
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
T62628150
VA
343900000X
Non-emergency Medical Transport (VAN)
Primary
T62638150
VA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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