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Individual

MS. MARQUIS SHANTEL HAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6421 STRAIGHTSTONE RD, LONG ISLAND, VA 24569-2839
(434) 713-1738
(434) 299-3002
Mailing address
6421 STRAIGHTSTONE RD, LONG ISLAND, VA 24569-2839
(434) 713-1738
(434) 299-3002

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
VA

Other

Enumeration date
08/09/2017
Last updated
07/21/2022
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