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Individual

SHAVIKA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1412 QUIET CT, PORTSMOUTH, VA 23701-3618
(757) 239-7336
(757) 558-1824
Mailing address
1412 QUIET CT, PORTSMOUTH, VA 23701-3618
(757) 799-7720

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
347E00000X
Transportation Broker
Primary

Other

Enumeration date
03/28/2025
Last updated
03/28/2025
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