Individual provider · Type 1 NPI
Tenea Latrice Walker
Private Vehicle · Manquin, VA
NPI number
1720601065
Active
Practice location
2780 Mahixon Rd
Manquin, VA 23106-2318
Mailing address
PO Box 1012
Aylett, VA 23009-1012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle | 347C00000X | A67201169 (VA) |
| Private Vehicle Primary | 347C00000X | A64201169 (VA) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1720601065
Tenea Latrice Walker's National Provider Identifier is 1720601065, issued on May 21, 2020. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Manquin, VA. The record was last updated on May 21, 2020.