Individual
DIANE BARKSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2648 RICE CREEK RD, FARMVILLE, VA 23901-8238
(434) 390-0294
Mailing address
2648 RICE CREEK RD, FARMVILLE, VA 23901-8238
(434) 390-0294
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
20104
VA
344600000X
Taxi
Primary
20104
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-0825678
TRANSPORTATION PROVIDER
VA
Enumeration date
09/06/2016
Last updated
09/06/2016
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