Individual provider · Type 1 NPI
Wendy Bacon
Private Vehicle · South Hill, VA
NPI number
1407323124
Active
Practice location
260 Tiny Rd
South Hill, VA 23970-4916
Fax (434) 447-2604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | T69-50-5052 (VA) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1407323124
Wendy Bacon's National Provider Identifier is 1407323124, issued on Oct 31, 2018. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in South Hill, VA. The record was last updated on Oct 31, 2018.