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Wendy Bacon
NPI 1407323124 · on the registry since 2018 · sole proprietor
Practice
- Address
- 260 Tiny Rd
South Hill, VA 23970 - Phone
- (434) 917-4292
- Fax
- (434) 447-2604
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia