Individual
INDIA TAPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 CHRISTANNA HWY, LAWRENCEVILLE, VA 23868-2612
(434) 378-6518
Mailing address
19401 CHRISTANNA HWY, LAWRENCEVILLE, VA 23868-2612
(434) 378-6518
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832252399
—
VA
Enumeration date
02/04/2019
Last updated
02/04/2019
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