Miraka Bass
Non-emergency Medical Transport (VAN) in Portsmouth, VA. Individual provider (NPI-1).
NPI number1982207684
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1982207684
- Entity type
- Individual (NPI-1)
- Name
- Miraka Bass
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 13, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | VA | Yes |
Practice location
4051 Cedar Ln Ste BPortsmouth, VA 23703-2003
Phone 757-975-3906
Mailing address
4051 Cedar Ln Ste BPortsmouth, VA 23703-2003
Phone 757-975-3906
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