Individual
KIA J SISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5693 TIERRA ROJA DR APT 304, VIRGINIA BEACH, VA 23455-1011
(757) 582-3946
Mailing address
5693 TIERRA ROJA DR APT 304, VIRGINIA BEACH, VA 23455-1011
(757) 582-3946
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
VA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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