Individual
MS. MELINDA BASKERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CHINA GROVE RD, BOYDTON, VA 23917-3850
(571) 662-1947
Mailing address
111 CHINA GROVE RD, BOYDTON, VA 23917-3850
(571) 662-1947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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