Individual
SHAREKA DELLINA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 OLD MILL RD, RIDGEWAY, VA 24148-4465
(276) 224-3077
Mailing address
1799 OLD MILL RD, RIDGEWAY, VA 24148-4465
(276) 224-3077
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
T63342470
VA
343900000X
Non-emergency Medical Transport (VAN)
—
NC
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
05/19/2023
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