Individual
RAKITA BASKERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 SON TALLEY RD, BOYDTON, VA 23917-4643
(434) 262-6097
Mailing address
337 SON TALLEY RD, BOYDTON, VA 23917-4643
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
NON ERMERGENCY
VA
Enumeration date
05/21/2019
Last updated
05/21/2019
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