RODERICK TIRELL HARRIS

SUFFOLK, VA
NPI1083188627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: VA  T61549889)
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
RODERICK TIRELL HARRIS
6117 CUSHING ST
SUFFOLK, VA 23435-3440
Phone number: 757-724-4605
Mailing Address
RODERICK TIRELL HARRIS
6117 CUSHING ST
SUFFOLK, VA 23435-3440
Phone number: 757-724-4605
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