NPI 1750921607

Sharita Mullen

Practitioner Private Vehicle Suffolk, VA

Practice location

Address: 904 Brook Ave, Suffolk, VA 23434-5930
Phone: (757) 298-2219

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence VAW8228 (VA)

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Registry record

NPI: 1750921607
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2020
Record last updated: 8 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.