Organization
BETTY JEANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINNCHEL PREEON TUCKER (OWNER)
(804) 502-9733
Entity
Organization
Contact information
Practice address
10615 GRETA LYNN CT, FREDERICKSBURG, VA 22407-7748
(804) 502-9733
Mailing address
10615 GRETA LYNN CT, FREDERICKSBURG, VA 22407-7748
(804) 502-9733
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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