Provider Demographics
NPI:1114788395
Name:BELL, DASHAWNA JASMINE RENEE
Entity Type:Individual
Prefix:
First Name:DASHAWNA
Middle Name:JASMINE RENEE
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15849 COURT VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-6131
Mailing Address - Country:US
Mailing Address - Phone:313-523-2992
Mailing Address - Fax:
Practice Address - Street 1:15849 COURT VILLAGE LN
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-6131
Practice Address - Country:US
Practice Address - Phone:313-523-2992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)