Individual
MRS. TAMIKA SHAVON STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TAMIKA SERVICE LLC
Contact information
Practice address
4134 LEAKED AVENUE, RICHMOND, VA 23224
(804) 616-5473
Mailing address
4134 LEAKED AVENUE, RICHMOND, VA 23224
(804) 616-5473
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
VA
347C00000X
Private Vehicle
—
VA
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822907611
MEDICARE
VA
05
—
822907611
—
VA
Enumeration date
10/31/2017
Last updated
04/19/2018
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