MS. Wendy Bacon
NPI #1407323124 in South Hill, Virginia
Provider Information
- NPI Number
- 1407323124
- Entity Type
- Individual
- Name
- MS. Wendy Bacon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Oct 31, 2018
- Last Updated
- Oct 31, 2018
Practice Location
- Address
- 260 TINY RD
- City
- South Hill
- State
- Virginia
- ZIP Code
- 23970-4916
- Phone
- (434) 917-4292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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