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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRAKA BASS

Active Sole Proprietor

MIRAKA BASS is a Bus healthcare provider located in PORTSMOUTH, Virginia. NPI 1982207684 is currently active in the NPPES registry. Verify at CMS.

Bus · PORTSMOUTH, VA

Registration Details

NPI Number
1982207684
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2020 (5.7205281531015 yrs)
Last Updated
Nov 17, 2020
Sole Proprietor
Yes

Practice Information

Address
4051 CEDAR LN STE B
PORTSMOUTH, VA, 237032003
Browse VA providers · Browse ZIP 23703
Phone
7579753906
Primary Specialty
Bus
343900000X

Other Bus Providers in PORTSMOUTH, VA

Name Credential NPI
MR. MALCOLM DARRYL WHITE SR. 1730637802
MRS. VERATINE BUTLER NEMT 1063979391
REGINALD RIDDICK 1316501976
SANDI-LUCIA GRIFFEN 1053957563
MICHAEL CARTER 1194338913
WHITNEY SIMMONS 1629679154
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.