Diera Syphax
NPI #1679170583 in South Boston, Virginia
Provider Information
- NPI Number
- 1679170583
- Entity Type
- Individual
- Name
- Diera Syphax
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Oct 4, 2020
- Last Updated
- Oct 4, 2020
Practice Location
- Address
- 1215 OLD GRUBBY RD
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-6139
- Phone
- (443) 525-0553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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